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1174061915
TONY JOHNSON
DYERSBURG, TN
NPI
1174061915
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-02-01
Last Update Date
2017-02-01
Business Address
-- TONY JOHNSON
640 US HIGHWAY 51 BYP E SUITE M
DYERSBURG, TN 38024-2067
Phone number: 731-285-6535
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Mailing Address
-- TONY JOHNSON
640 US HIGHWAY 51 BYP E SUITE M
DYERSBURG, TN 38024-2067
Phone number: 731-285-6535
Copy
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