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1568511582
STACY DUANE JOHNSON
GREENWOOD, IN
NPI
1568511582
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IN 12009239)
Enumeration Date
2007-01-09
Last Update Date
2007-08-28
Business Address
-- STACY DUANE JOHNSON DDS
3056 W STONES CROSSING RD
GREENWOOD, IN 46143
Phone number: 317-535-7141
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Mailing Address
-- STACY DUANE JOHNSON DDS
3056 W STONES CROSSING RD
GREENWOOD, IN 46143
Phone number: 317-535-7141
Copy
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