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1699225524
DELAINE TABOR JOHNSON
FT GORDON, GA
NPI
1699225524
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
Enumeration Date
2016-10-04
Last Update Date
2016-10-04
Business Address
-- DELAINE TABOR JOHNSON
BLDG 38801 ACADEMIC DR, SUITE B & C USA DENTAC
FT GORDON, GA 30905-5660
Phone number: 706-787-6927
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Mailing Address
-- DELAINE TABOR JOHNSON
BLDG 38801 ACADEMIC DR, SUITE B & C USA DENTAC
FT GORDON, GA 30905-5660
Phone number: 706-787-6927
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