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1366836173
VERNON JOHNSON
SUFFOLK, VA
NPI
1366836173
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: VA 1421-01-001)
Enumeration Date
2015-03-19
Last Update Date
2015-03-19
Business Address
VERNON JOHNSON
6805 CASTLEWOOD AVENUE
SUFFOLK, VA 23435
Phone number: 757-439-0853
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Mailing Address
VERNON JOHNSON
6805 CASTLEWOOD CIR
SUFFOLK, VA 23435-3026
Phone number: 757-439-0853
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