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1316038607
ROGER T JOHNSON
PINEVILLE, WV
NPI
1316038607
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WV 122)
Enumeration Date
2006-09-28
Last Update Date
2007-07-08
Business Address
-- ROGER T JOHNSON PAC
MAIN ST FAMILY HEALTHCARE ASSOC INC
PINEVILLE, WV 24874
Phone number: 304-732-6735
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Mailing Address
-- ROGER T JOHNSON PAC
PO BOX 1650 FAMILY HEALTHCARE ASSOC INC
PINEVILLE, WV 24874
Phone number: 304-732-6735
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