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1609418391
SUSAN JOHNSON
WACO, TX
NPI
1609418391
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology Psychiatry
(Licence: TX F9629)
Enumeration Date
2019-10-14
Last Update Date
2019-10-25
Business Address
SUSAN JOHNSON MD
1600 PROVIDENCE DR
WACO, TX 76707-2261
Phone number: 254-313-4200
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Mailing Address
SUSAN JOHNSON MD
1600 PROVIDENCE DR
WACO, TX 76707-2261
Phone number: 254-313-4200
Copy
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