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1750395356
STEPHEN JOHNSON
LAUREL, MS
NPI
1750395356
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: MS 13106)
Enumeration Date
2006-07-28
Last Update Date
2013-07-11
Business Address
-- STEPHEN JOHNSON D.O.
1203 JEFFERSON ST
LAUREL, MS 39440-4354
Phone number: 601-649-2863
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Mailing Address
-- STEPHEN JOHNSON D.O.
1203 JEFFERSON ST
LAUREL, MS 39440-4354
Phone number: 601-649-2863
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