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1932100039
KYLE HARRIS JOHNSON
COLUMBIA, SC
NPI
1932100039
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: SC 1014)
Enumeration Date
2005-08-10
Last Update Date
2007-10-15
Business Address
Mr. KYLE HARRIS JOHNSON P.A.
1910 BLANDING ST
COLUMBIA, SC 29201-3520
Phone number: 803-256-4107
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Mailing Address
Mr. KYLE HARRIS JOHNSON P.A.
1910 BLANDING ST
COLUMBIA, SC 29201-3520
Phone number: 803-256-4107
Copy
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