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1407458102
GLADYS B JOHNSON
STONE MOUNTAIN, GA
NPI
1407458102
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN163718)
Enumeration Date
2020-11-09
Last Update Date
2020-11-09
Business Address
GLADYS B JOHNSON
3962 CARLINSWOOD WAY
STONE MOUNTAIN, GA 30083-4776
Phone number: 404-376-2876
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Mailing Address
GLADYS B JOHNSON
3962 CARLINSWOOD WAY
STONE MOUNTAIN, GA 30083-4776
Phone number:
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