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1235333147
CHARLES JOHNSON
CEDAR FALLS, IA
NPI
1235333147
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Other Name
CHUCK JOHNSON
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IA 00306)
Enumeration Date
2007-06-13
Last Update Date
2007-07-08
Business Address
-- CHARLES JOHNSON PTA
2104 FOUR WINDS DR
CEDAR FALLS, IA 50613-6435
Phone number: 319-266-5993
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Mailing Address
-- CHARLES JOHNSON PTA
2104 FOUR WINDS DR
CEDAR FALLS, IA 50613-6435
Phone number: 319-266-5993
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