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1619234945
JOHN DEREK JOHNSON
JENA, LA
NPI
1619234945
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: LA 206647)
Enumeration Date
2012-04-11
Last Update Date
2015-07-07
Business Address
-- JOHN DEREK JOHNSON MD
180 NINTH ST LASALLE FAMILY MEDICINE CLINIC
JENA, LA 71342-3900
Phone number: 318-992-9200
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Mailing Address
-- JOHN DEREK JOHNSON MD
PO BOX 2780 LASALLE FAMILY MEDICINE CLINIC
JENA, LA 71342-2780
Phone number: 318-992-9200
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