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1063763092
NATHAN L JOHNSON
CHARLESTON, WV
NPI
1063763092
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: WV 66178)
Enumeration Date
2012-10-01
Last Update Date
2014-04-29
Business Address
NATHAN L JOHNSON NP-C
1000 LINCOLN DRIVE
CHARLESTON, WV 25309
Phone number: 304-768-4400
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Mailing Address
NATHAN L JOHNSON NP-C
PO BOX 1145
GAULEY BRIDGE, WV 25085-1145
Phone number: 304-951-8334
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