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1467811109
EDWARD JOHNSON
ELLICOTT CITY, MD
NPI
1467811109
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MD R189350)
Enumeration Date
2016-02-22
Last Update Date
2016-02-22
Business Address
-- EDWARD JOHNSON
9055 CHEVROLET DR
ELLICOTT CITY, MD 21042-4016
Phone number: 410-878-2887
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Mailing Address
-- EDWARD JOHNSON
1755 SHARWOOD PL
CROFTON, MD 21114-1924
Phone number: 410-533-6316
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