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1710199013
BRYAN ALAN JOHNSON
RALEIGH, NC
NPI
1710199013
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: SC PR37655)
Enumeration Date
2007-05-07
Last Update Date
2007-07-08
Business Address
-- BRYAN ALAN JOHNSON LPN
200 S PETTIGREW ST
RALEIGH, NC 27610-2651
Phone number: 919-341-8935
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Mailing Address
-- BRYAN ALAN JOHNSON LPN
200 S PETTIGREW ST
RALEIGH, NC 27610-2651
Phone number: 919-341-8935
Copy
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