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1679069207
ORDIA DEE JOHNSON
PINE BLUFF, AR
NPI
1679069207
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: AR 910131294)
Enumeration Date
2018-07-06
Last Update Date
2018-07-06
Business Address
ORDIA DEE JOHNSON
4800 S HAZEL ST
PINE BLUFF, AR 71603-6860
Phone number: 870-534-5533
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Mailing Address
ORDIA DEE JOHNSON
4800 S HAZEL ST
PINE BLUFF, AR 71603-6860
Phone number: 870-534-5533
Copy
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