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1225539182
MATTHEW WALLACE JOHNSON
NEW ORLEANS, LA
NPI
1225539182
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-02-26
Last Update Date
2020-07-13
Business Address
MATTHEW WALLACE JOHNSON DO
1542 TULANE AVE # T4M2
NEW ORLEANS, LA 70112-2865
Phone number: 504-568-5600
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Mailing Address
MATTHEW WALLACE JOHNSON DO
1542 TULANE AVE # T4M2
NEW ORLEANS, LA 70112-2865
Phone number: 504-568-5600
Copy
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