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1790424760
KENDALLYN JOHNSON
NORFOLK, VA
NPI
1790424760
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207RS0010X Internal Medicine, Sports Medicine
(Licence: VA 390200000X)
Enumeration Date
2022-05-29
Last Update Date
2022-05-29
Business Address
KENDALLYN JOHNSON
5115 HAMPTON BLVD
NORFOLK, VA 23529-5000
Phone number: 757-683-3000
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Mailing Address
KENDALLYN JOHNSON
103 CLEARFIELD CIR APT A
COLONIAL HEIGHTS, VA 23834-1858
Phone number: 804-930-3507
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