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1578585725
CLIFFORD JOHNSON
CHAMPAIGN, IL
NPI
1578585725
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207XS0106X Orthopaedic Surgery, Hand Surgery
(Licence: IL 036102230)
Enumeration Date
2006-07-24
Last Update Date
2015-05-26
Business Address
-- CLIFFORD JOHNSON
1802 S. MATTIS AVE.
CHAMPAIGN, IL 61821-5923
Phone number: 217-383-3260
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Mailing Address
-- CLIFFORD JOHNSON
611 W. PARK ST. BWPC
URBANA, IL 61801-2500
Phone number: 217-383-6792
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