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1356530109
RICHARD MATTHEW JOHNSON
BOWLING GREEN, KY
NPI
1356530109
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-10-17
Last Update Date
2008-04-17
Business Address
-- RICHARD MATTHEW JOHNSON Service Coordinator
380 SUWANNEE TRAIL STREET
BOWLING GREEN, KY 42103
Phone number: 270-901-5000
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Mailing Address
-- RICHARD MATTHEW JOHNSON Service Coordinator
384 PASCOE BLVD
BOWLING GREEN, KY 42104-5442
Phone number:
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