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1437839404
GREGORY J. JOHNSON
SPENCER, IA
NPI
1437839404
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IA t23079)
Enumeration Date
2023-07-24
Last Update Date
2023-07-24
Business Address
GREGORY J. JOHNSON
1812 24TH AVE W
SPENCER, IA 51301-2661
Phone number: 712-580-3030
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Mailing Address
GREGORY J. JOHNSON
1812 24TH AVE W
SPENCER, IA 51301-2661
Phone number: 712-580-3030
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