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1093473613
BRADEN A JOHNSON
CAMP LEJEUNE, NC
NPI
1093473613
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2021-12-01
Last Update Date
2021-12-01
Business Address
Mr. BRADEN A JOHNSON SOIDC
2D RECONNAISSANCE BATTALION
CAMP LEJEUNE, NC 28542-0138
Phone number: 910-440-7703
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Mailing Address
Mr. BRADEN A JOHNSON SOIDC
2ND RECONNISANCE BATTALION PSC BOX 20138
CAMP LEJEUNE, NC 28542-0138
Phone number: 910-440-7703
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