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1346324902
LARRY CLINTON JOHNSON
SAINT JOSEPH, MO
NPI
1346324902
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 099739)
Enumeration Date
2006-10-24
Last Update Date
2009-03-10
Business Address
-- LARRY CLINTON JOHNSON FNP
220 SOUTH WOODBINE RD
SAINT JOSEPH, MO 64506-3649
Phone number: 816-676-1300
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Mailing Address
-- LARRY CLINTON JOHNSON FNP
220 SOUTH WOODBINE RD
SAINT JOSEPH, MO 64506-3649
Phone number: 816-676-1300
Copy
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