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1538553797
BLAIR JOHNSON
SOUTH BEND, IN
NPI
1538553797
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: IN 36000299A)
Enumeration Date
2015-03-26
Last Update Date
2021-03-31
Business Address
BLAIR JOHNSON PT
1815 E IRELAND RD STE 100
SOUTH BEND, IN 46614-2845
Phone number: 574-647-5790
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Mailing Address
BLAIR JOHNSON PT
710 N NILES AVE
SOUTH BEND, IN 46617-1924
Phone number: 574-647-1610
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