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1508465501
DAVID JOHNSON
CARLSBAD, NM
NPI
1508465501
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: NM PT5790)
Enumeration Date
2020-10-21
Last Update Date
2020-10-21
Business Address
DAVID JOHNSON DPT
1905 W PIERCE ST
CARLSBAD, NM 88220-4025
Phone number: 575-885-3161
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Mailing Address
DAVID JOHNSON DPT
5398 PERSHING AVE APT 3W
SAINT LOUIS, MO 63112-1788
Phone number: 931-302-1595
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