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1720004716
DAN JOHNSON
JONESBORO, AR
NPI
1720004716
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103G00000X Clinical Neuropsychologist
(Licence: AR 0110P)
Enumeration Date
2006-07-14
Last Update Date
2007-07-08
Business Address
-- DAN JOHNSON PhD
1201 FLEMING AVE
JONESBORO, AR 72401
Phone number: 870-933-5174
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Mailing Address
-- DAN JOHNSON PhD
1201 FLEMING AVE
JONESBORO, AR 72401
Phone number: 870-933-5174
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