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1346739877
GREGORY WAYNE JOHNSON
MINNETONKA, MN
NPI
1346739877
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN202149)
Enumeration Date
2018-05-10
Last Update Date
2020-09-23
Business Address
GREGORY WAYNE JOHNSON NP
9900 BREN RD E
MINNETONKA, MN 55343-9664
Phone number: 478-234-7849
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Mailing Address
GREGORY WAYNE JOHNSON NP
465 LAKE LAUREL RD NE
MILLEDGEVILLE, GA 31061-8447
Phone number: 470-222-8194
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