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1538809942
KEN JOHNSON
LAWRENCEVILLE, GA
NPI
1538809942
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-01
Last Update Date
2022-04-01
Business Address
KEN JOHNSON
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046-7694
Phone number: 678-312-1000
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Mailing Address
KEN JOHNSON
3562 BUTLER SPRINGS TRCE NW
KENNESAW, GA 30144-2369
Phone number: 678-428-6772
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