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1902254477
REGINALD JOHNSON
CARLSBAD, NM
NPI
1902254477
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NM CNP-02926)
Enumeration Date
2016-05-25
Last Update Date
2021-06-14
Business Address
REGINALD JOHNSON
2409 W PIERCE ST SUITE A
CARLSBAD, NM 88220-3513
Phone number: 575-887-8925
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Mailing Address
REGINALD JOHNSON
2409 W PIERCE ST SUITE A
CARLSBAD, NM 88220-3513
Phone number: 575-887-8925
Copy
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