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1821228131
RYAN DANIEL JOHNSON
SPRINGFIELD, IL
NPI
1821228131
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IL 019.028015)
Enumeration Date
2009-07-21
Last Update Date
2012-11-28
Business Address
-- RYAN DANIEL JOHNSON DMD
2525 W ILES AVE
SPRINGFIELD, IL 62704-4283
Phone number: 217-787-7744
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Mailing Address
-- RYAN DANIEL JOHNSON DMD
2525 W ILES AVE
SPRINGFIELD, IL 62704-4283
Phone number: 217-787-7744
Copy
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