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1669162673
WILLIAM TRASK JOHNSON
BATON ROUGE, LA
NPI
1669162673
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-05-11
Last Update Date
2023-05-11
Business Address
WILLIAM TRASK JOHNSON MD
8415 GOODWOOD BLVD STE 202
BATON ROUGE, LA 70806-7851
Phone number: 225-765-8013
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Mailing Address
WILLIAM TRASK JOHNSON MD
8300 CONSTANTIN BLVD FL 2
BATON ROUGE, LA 70809-3489
Phone number: 225-374-1317
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