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1194862722
IDA JOHNSON DAWSON
RALEIGH, NC
NPI
1194862722
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 101111)
Enumeration Date
2007-01-31
Last Update Date
2007-07-08
Business Address
Ms. IDA JOHNSON DAWSON P.A.
10 SUNNYBROOK RD
RALEIGH, NC 27610-1808
Phone number: 919-250-4629
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Mailing Address
Ms. IDA JOHNSON DAWSON P.A.
204 LONGVIEW LAKE DR
RALEIGH, NC 27610-1876
Phone number: 919-255-6752
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