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1154033520
JUSTIN JOHNSON
NORFOLK, VA
NPI
1154033520
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-12-16
Last Update Date
2022-12-16
Business Address
JUSTIN JOHNSON PA
3708 AMHERST ST
NORFOLK, VA 23513-4037
Phone number: 360-842-4191
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Mailing Address
JUSTIN JOHNSON PA
3708 AMHERST ST
NORFOLK, VA 23513-4037
Phone number: 360-842-4191
Copy
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