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1477904134
ANDREW JOHNSON
NORTHVILLE, MI
NPI
1477904134
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: MI 4704278639)
Enumeration Date
2016-06-23
Last Update Date
2023-10-26
Business Address
Mr. ANDREW JOHNSON AGPCNP
21800 HAGGERTY RD STE 113
NORTHVILLE, MI 48167-9051
Phone number: 248-277-3110
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Mailing Address
Mr. ANDREW JOHNSON AGPCNP
21800 HAGGERTY RD STE 113
NORTHVILLE, MI 48167-9051
Phone number: 248-277-3110
Copy
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