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1760447767
CHARLES LARUE JOHNSON
COLORADO SPRINGS, CO
NPI
1760447767
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CO 18812)
Enumeration Date
2006-04-20
Last Update Date
2010-03-01
Business Address
DR. CHARLES LARUE JOHNSON D.O.
155 PRINTERS PKWY SUITE 230
COLORADO SPRINGS, CO 80910-6100
Phone number: 719-635-5657
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Mailing Address
DR. CHARLES LARUE JOHNSON D.O.
155 PRINTERS PKWY SUITE 230
COLORADO SPRINGS, CO 80910-6100
Phone number: 719-635-5657
Copy
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