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1770673659
RONALD L JOHNSON
FORT MEADE, SD
NPI
1770673659
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: SD 0374)
Enumeration Date
2006-10-13
Last Update Date
2007-07-08
Business Address
RONALD L JOHNSON PA-C
113 COMANCHE RD
FORT MEADE, SD 57741-1002
Phone number: 605-347-2511
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Mailing Address
RONALD L JOHNSON PA-C
PO BOX 167
FORT MEADE, SD 57741-0167
Phone number:
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