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1871120105
MASON GRANT JOHNSON
LEXINGTON, KY
NPI
1871120105
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-03-25
Last Update Date
2020-03-25
Business Address
MASON GRANT JOHNSON
800 ROSE STREET MN 150
LEXINGTON, KY 40506-0001
Phone number: 859-323-5261
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Mailing Address
MASON GRANT JOHNSON
2492 OGDEN WAY
LEXINGTON, KY 40509-8575
Phone number: 606-213-3034
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