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1801142971
WADE LANE JOHNSON
WILLIAMSBURG, VA
NPI
1801142971
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: VA 0101018624)
Enumeration Date
2012-07-26
Last Update Date
2012-07-26
Business Address
Dr. WADE LANE JOHNSON M.D.
104 MOODYS RUN
WILLIAMSBURG, VA 23185-6557
Phone number: 757-229-8816
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Mailing Address
Dr. WADE LANE JOHNSON M.D.
104 MOODYS RUN
WILLIAMSBURG, VA 23185-6557
Phone number:
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