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1629014626
JON BRADLEY JOHNSON
MONROE, LA
NPI
1629014626
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: LA 021605)
Enumeration Date
2006-06-20
Last Update Date
2019-06-12
Business Address
Dr. JON BRADLEY JOHNSON MD
2516 BROADMOOR BLVD
MONROE, LA 71201-2988
Phone number: 318-387-9420
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Mailing Address
Dr. JON BRADLEY JOHNSON MD
130 DESIARD ST SUITE 355
MONROE, LA 71201-7319
Phone number: 318-807-7875
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