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1124362066
GORDON R JOHNSON D O P C
DAVENPORT, IA
NPI
1124362066
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Entity Type
Organization
Authorized Contact
GORDON R JOHNSON
President
563-391-3309
Organization Subpart ?
No
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: IA 1926)
Enumeration Date
2012-11-15
Last Update Date
2012-11-15
Business Address
GORDON R JOHNSON D O P C
3906 LILLIE AVE SUITE 1
DAVENPORT, IA 52806-4434
Phone number: 563-391-3309
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Mailing Address
GORDON R JOHNSON D O P C
3906 LILLIE AVE SUITE 1
DAVENPORT, IA 52806-4434
Phone number:
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