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1417189473
ANDREW MARK JOHANSSON
NEWPORT NEWS, VA
NPI
1417189473
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110003089)
Enumeration Date
2009-08-10
Last Update Date
2021-04-15
Business Address
ANDREW MARK JOHANSSON PA
730 THIMBLE SHOALS BLVD SUITE 130
NEWPORT NEWS, VA 23606-4562
Phone number: 757-873-1554
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Mailing Address
ANDREW MARK JOHANSSON PA
730 THIMBLE SHOALS BLVD SUITE 130
NEWPORT NEWS, VA 23606-4562
Phone number: 757-873-1554
Copy
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