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1205893781
GORDON RAY JOHNSON
DAVENPORT, IA
NPI
1205893781
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: IA 1926)
Enumeration Date
2006-04-27
Last Update Date
2012-10-16
Business Address
-- GORDON RAY JOHNSON D.O.
3906 LILLIE AVE. SUITE 1
DAVENPORT, IA 52806-4432
Phone number: 563-391-3309
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Mailing Address
-- GORDON RAY JOHNSON D.O.
3906 LILLIE AVE. SUITE 1
DAVENPORT, IA 52806-4432
Phone number: 563-391-3309
Copy
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