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1194745877
KEVIN RUSSELL JOHNSON
DALLAS, TX
NPI
1194745877
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA04026)
Enumeration Date
2006-07-19
Last Update Date
2023-03-07
Business Address
Mr. KEVIN RUSSELL JOHNSON PA-C
5201 HARRY HINES BLVD
DALLAS, TX 75235-7708
Phone number: 817-343-0431
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Mailing Address
Mr. KEVIN RUSSELL JOHNSON PA-C
5541 GOODWIN AVE
DALLAS, TX 75206-6212
Phone number: 817-343-0431
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