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1124293980
GARY BRIAN JOHNSON
DAVENPORT, IA
NPI
1124293980
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: IA 00923)
Enumeration Date
2008-04-23
Last Update Date
2008-04-23
Business Address
Mr. GARY BRIAN JOHNSON MSW
4455 E 56TH ST
DAVENPORT, IA 52807
Phone number: 563-386-4004
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Mailing Address
Mr. GARY BRIAN JOHNSON MSW
4455 E 56TH ST
DAVENPORT, IA 52807
Phone number: 563-386-4004
Copy
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