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1417172966
RUSSELL JOHNSON
COLUMBIA, SC
NPI
1417172966
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
237700000X Hearing Instrument Specialist
(Licence: SC 157)
Enumeration Date
2007-04-17
Last Update Date
2014-12-03
Business Address
Mr. RUSSELL JOHNSON bc-his
1522 GREGG ST
COLUMBIA, SC 29201-3530
Phone number: 803-779-2430
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Mailing Address
Mr. RUSSELL JOHNSON bc-his
1522 GREGG ST
COLUMBIA, SC 29201-3530
Phone number: 803-779-2430
Copy
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