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1639207574
GID ROGER JOHNSON
LONGVIEW, TX
NPI
1639207574
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208800000X Urology
(Licence: TX E2641)
Enumeration Date
2007-03-01
Last Update Date
2008-12-16
Business Address
-- GID ROGER JOHNSON M.D.
1608 SWEETBRIAR ST
LONGVIEW, TX 75604-2654
Phone number: 903-297-6000
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Mailing Address
-- GID ROGER JOHNSON M.D.
1608 SWEETBRIAR ST
LONGVIEW, TX 75604-2654
Phone number: 903-297-6000
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