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1871827220
TIMOTHY RALPH JOHNSON
GOODYEAR, AZ
NPI
1871827220
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AZ 3698)
Enumeration Date
2009-10-01
Last Update Date
2009-10-01
Business Address
Mr. TIMOTHY RALPH JOHNSON PA-C
2014 N CITRUS RD
GOODYEAR, AZ 85338
Phone number: 623-853-0304
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Mailing Address
Mr. TIMOTHY RALPH JOHNSON PA-C
17166 W COTTONWOOD ST
SURPRISE, AZ 85388-1203
Phone number: 623-544-0462
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