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1568696177
CHARLES DAVID JOHNSON
MONROE, LA
NPI
1568696177
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: LA A10581)
Enumeration Date
2009-05-11
Last Update Date
2009-05-11
Business Address
-- CHARLES DAVID JOHNSON
309 JACKSON ST
MONROE, LA 71201-7407
Phone number: 318-327-4000
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Mailing Address
-- CHARLES DAVID JOHNSON
309 JACKSON ST
MONROE, LA 71201-7407
Phone number: 318-327-4000
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