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1235964792
ADAM WADE JOHNSON
MEMPHIS, TN
NPI
1235964792
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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
2024-09-04
Last Update Date
2024-09-04
Business Address
ADAM WADE JOHNSON
874 UNION AVE RM 325
MEMPHIS, TN 38103-3514
Phone number: 901-448-6128
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Mailing Address
ADAM WADE JOHNSON
874 UNION AVE RM 325
MEMPHIS, TN 38103-3514
Phone number:
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