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1316005960
JOHN RUSSELL JOHANSSON
ESSEX JUNCTION, VT
NPI
1316005960
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
204C00000X Neuromusculoskeletal Medicine, Sports Medicine
(Licence: VT Vt 0000304)
Enumeration Date
2006-12-05
Last Update Date
2017-04-18
Business Address
Dr. JOHN RUSSELL JOHANSSON DO
67 LINCOLN ST
ESSEX JUNCTION, VT 05452-3235
Phone number: 802-878-1003
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Mailing Address
Dr. JOHN RUSSELL JOHANSSON DO
67 LINCOLN ST
ESSEX JUNCTION, VT 05452-3235
Phone number: 802-878-9278
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