PHILLIP GREGORY JOHNSON

APPLETON, WI
NPI1760024111
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2019-10-16
Last Update Date2019-10-16
Business Address
PHILLIP GREGORY JOHNSON
1308 N LEONA ST
APPLETON, WI 54911-4232
Phone number: 920-730-1028
Mailing Address
PHILLIP GREGORY JOHNSON
1308 N LEONA ST
APPLETON, WI 54911-4232
Phone number: 920-730-1028
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