LARRY R JOHNSON

FORT GRATIOT, MI
NPI1801367032
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: MI  4704277488)
Enumeration Date2018-12-16
Last Update Date2018-12-16
Business Address
LARRY R JOHNSON Rn
5011 STATE RD
FORT GRATIOT, MI 48059-2909
Phone number: 810-300-3696
Mailing Address
LARRY R JOHNSON Rn
5011 STATE RD
FORT GRATIOT, MI 48059-2909
Phone number:
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