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1548630122
BRIAN JOHNSON
CANTON, GA
NPI
1548630122
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
246W00000X Technician, Cardiology
(Licence: GA 00015619)
Enumeration Date
2015-09-25
Last Update Date
2015-09-25
Business Address
-- BRIAN JOHNSON
1163 BRIDGE MILL AVE
CANTON, GA 30114-7713
Phone number: 770-845-6027
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Mailing Address
-- BRIAN JOHNSON
1163 BRIDGE MILL AVE
CANTON, GA 30114-7713
Phone number: 770-845-6027
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