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1104470327
ROY THOMAS JOHNSON
NORTH POLE, AK
NPI
1104470327
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-07-25
Last Update Date
2019-07-25
Business Address
Mr. ROY THOMAS JOHNSON
1513 LIATRIS LN
NORTH POLE, AK 99705-5082
Phone number: 865-405-1748
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Mailing Address
Mr. ROY THOMAS JOHNSON
1513 LIATRIS LN
NORTH POLE, AK 99705-5082
Phone number: 865-405-1748
Copy
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