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1912913807
TIMOTHY JOHNSON
LUFKIN, TX
NPI
1912913807
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: TX PA02448)
Enumeration Date
2006-07-31
Last Update Date
2007-07-08
Business Address
TIMOTHY JOHNSON PA
1301 W FRANK AVE
LUFKIN, TX 75904-3305
Phone number: 936-633-2758
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Mailing Address
TIMOTHY JOHNSON PA
2602 TULANE DR
LUFKIN, TX 75901-7246
Phone number: 936-637-1439
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