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1699278606
TOMMY JOHNSON
CONWAY, SC
NPI
1699278606
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2018-03-15
Last Update Date
2018-03-15
Business Address
TOMMY JOHNSON
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526-8903
Phone number: 843-347-5060
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Mailing Address
TOMMY JOHNSON
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526-8903
Phone number:
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