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1316051964
HENRY JOHNSON
FORT POLK, LA
NPI
1316051964
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: LA A10309)
Enumeration Date
2006-08-19
Last Update Date
2021-10-15
Business Address
HENRY JOHNSON PA-C
1585 3RD ST
FORT POLK, LA 71459-5102
Phone number: 337-531-3942
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Mailing Address
HENRY JOHNSON PA-C
1585 3RD ST
FORT POLK, LA 71459-5102
Phone number: 337-531-3942
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