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1659393809
MARCUS ANDREW JOHNSON
CONWAY, SC
NPI
1659393809
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2006-07-24
Last Update Date
2007-07-08
Business Address
-- MARCUS ANDREW JOHNSON BS
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526-8903
Phone number: 843-347-5060
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Mailing Address
-- MARCUS ANDREW JOHNSON BS
1508 HEMINGWAY ST
MYRTLE BEACH, SC 29577-3329
Phone number: 843-448-4225
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