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1831138106
CHARLES SANFORD JOHNSON
STOCKTON, CA
NPI
1831138106
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: CA G566880)
Enumeration Date
2006-06-05
Last Update Date
2013-06-17
Business Address
CHARLES SANFORD JOHNSON M.D.
2545 W HAMMER LN
STOCKTON, CA 95209-2839
Phone number: 209-957-7050
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Mailing Address
CHARLES SANFORD JOHNSON M.D.
600 COFFEE RD
MODESTO, CA 95355-4201
Phone number: 209-521-6097
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