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1134508575
NIKOLAUS JOHNSON
SPRINGFIELD, MO
NPI
1134508575
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 78405)
Enumeration Date
2015-05-19
Last Update Date
2023-05-10
Business Address
NIKOLAUS JOHNSON
3050 S NATIONAL AVE STE 104
SPRINGFIELD, MO 65804-4242
Phone number: 417-597-4572
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Mailing Address
NIKOLAUS JOHNSON
3050 S NATIONAL AVE STE 104
SPRINGFIELD, MO 65804-4242
Phone number: 417-597-4572
Copy
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