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1467135947
TERRY WAYNE JOHNSTON
WOODRUFF, WI
NPI
1467135947
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2023-08-10
Last Update Date
2023-08-10
Business Address
Mr. TERRY WAYNE JOHNSTON
8937 THEIS DR
WOODRUFF, WI 54568-9630
Phone number: 559-472-6982
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Mailing Address
Mr. TERRY WAYNE JOHNSTON
8937 THEIS DR
WOODRUFF, WI 54568-9630
Phone number: 559-472-6982
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