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1104848555
RICHARD LEE JOHNSON
DALLAS, TX
NPI
1104848555
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA00053)
Enumeration Date
2006-07-24
Last Update Date
2007-07-08
Business Address
-- RICHARD LEE JOHNSON PAC
3500 GASTON AVE
DALLAS, TX 75246-2017
Phone number: 214-820-2505
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Mailing Address
-- RICHARD LEE JOHNSON PAC
PO BOX 41633
PHILADELPHIA, PA 19101-1633
Phone number: 800-355-0808
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