GREG L JOHNSON

TUCUMCARI, NM
NPI1578811527
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NM  A-0767)
Enumeration Date2012-08-23
Last Update Date2012-08-23
Business Address
-- GREG L JOHNSON MS, BPS, PTA
305 E MIEL DE LUNA AVE
TUCUMCARI, NM 88401-3810
Phone number: 575-461-7230
Mailing Address
-- GREG L JOHNSON MS, BPS, PTA
4201B QUAY ROAD 66
TUCUMCARI, NM 88401-9524
Phone number: 615-618-2057
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