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1215618004
KYLE JOHNSON
CLAYTON, NC
NPI
1215618004
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: NC A8192)
Enumeration Date
2023-07-26
Last Update Date
2023-07-26
Business Address
KYLE JOHNSON
195 SPRINGBROOK AVE
CLAYTON, NC 27520-8105
Phone number: 919-550-7200
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Mailing Address
KYLE JOHNSON
1220 TURNER WOODS DR
RALEIGH, NC 27603-9521
Phone number: 252-567-0006
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