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1144516402
SHELDON BRYAN JOHNSON
SAINT LOUIS, MO
NPI
1144516402
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO 2011018954)
Enumeration Date
2011-06-24
Last Update Date
2011-06-24
Business Address
Dr. SHELDON BRYAN JOHNSON D.O.
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141-8221
Phone number: 314-251-8950
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Mailing Address
Dr. SHELDON BRYAN JOHNSON D.O.
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141-8221
Phone number: 314-251-8950
Copy
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