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1154770022
RUSSTEN JOHNSON
ROGERS, AR
NPI
1154770022
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2016-06-10
Last Update Date
2016-06-10
Business Address
-- RUSSTEN JOHNSON
1200 W WALNUT ST STE 3100
ROGERS, AR 72756-3524
Phone number: 479-631-9996
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Mailing Address
-- RUSSTEN JOHNSON
602 N WALTON BLVD
BENTONVILLE, AR 72712-4576
Phone number: 479-464-1060
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