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1467431932
KELLY WADE JOHNSON
LANSING, MI
NPI
1467431932
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MI 2901018145)
Enumeration Date
2006-01-12
Last Update Date
2015-09-10
Business Address
Dr. KELLY WADE JOHNSON DDS
2815 S PENNSYLVANIA AVE #203
LANSING, MI 48910-3495
Phone number: 517-272-4150
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Mailing Address
Dr. KELLY WADE JOHNSON DDS
5303 S CEDAR ST
LANSING, MI 48911-3800
Phone number: 517-272-4150
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