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1558333096
EZRA LAMONT JOHNSON
CAMP LEJEUNE, NC
NPI
1558333096
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
247200000X Technician, Other
Enumeration Date
2006-02-07
Last Update Date
2007-07-08
Business Address
Mr. EZRA LAMONT JOHNSON COTA
NAVAL HOSPITAL CAMP LEJEUNE 100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Phone number: 910-450-4750
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Mailing Address
Mr. EZRA LAMONT JOHNSON COTA
8 CARVER RD
JACKSONVILLE, NC 28540-7010
Phone number: 910-450-4750
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