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1215975362
ROGER DALE JOHNSON
JOHNSON CITY, TN
NPI
1215975362
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN TN11991)
Enumeration Date
2006-06-02
Last Update Date
2008-04-30
Business Address
-- ROGER DALE JOHNSON FNP
207 E MYRTLE AVE
JOHNSON CITY, TN 37601-4633
Phone number: 423-925-2600
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Mailing Address
-- ROGER DALE JOHNSON FNP
252 WORTHINGTON DR
KINGSPORT, TN 37663-3180
Phone number: 423-925-2600
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