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1831798321
TRENTON RYAN JOHNSON
CLENDENIN, WV
NPI
1831798321
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WV 2508)
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2020-10-26
Last Update Date
2022-02-26
Business Address
TRENTON RYAN JOHNSON
107 KOONTZ AVE STE 200
CLENDENIN, WV 25045-9581
Phone number: 304-548-7272
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Mailing Address
TRENTON RYAN JOHNSON
107 KOONTZ AVE STE 200
CLENDENIN, WV 25045-9581
Phone number: 304-548-7272
Copy
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