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1700630209
TANNER OWEN JOHNSON
HOLLY SPRINGS, NC
NPI
1700630209
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-12
Last Update Date
2024-04-12
Business Address
TANNER OWEN JOHNSON
504 VILLAGE WALK DR
HOLLY SPRINGS, NC 27540-4440
Phone number: 919-351-8600
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Mailing Address
TANNER OWEN JOHNSON
103 BARNSLEY RD
ANGIER, NC 27501-5082
Phone number: 252-876-7073
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