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1114157799
ERICA L JOHNSON
SPRINGFIELD, IL
NPI
1114157799
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IL 019028033)
Enumeration Date
2009-07-17
Last Update Date
2012-11-29
Business Address
Dr. ERICA L JOHNSON DMD
2525 W ILES
SPRINGFIELD, IL 62704
Phone number: 217-787-7744
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Mailing Address
Dr. ERICA L JOHNSON DMD
2525 W ILES AVE
SPRINGFIELD, IL 62704-4283
Phone number:
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