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1336102375
RUSSELL JOHNSON
TOLEDO, OH
NPI
1336102375
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: OH 34-00-7168)
Enumeration Date
2006-04-10
Last Update Date
2008-01-07
Business Address
-- RUSSELL JOHNSON
2142 N COVE BLVD
TOLEDO, OH 43606-3895
Phone number: 419-291-4101
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Mailing Address
-- RUSSELL JOHNSON
6896 W SNOWVILLE RD
BRECKSVILLE, OH 44141-3214
Phone number:
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