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1932444924
CHARLES WILLIAM JOHNSON
LEES SUMMIT, MO
NPI
1932444924
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO 33630)
Enumeration Date
2012-12-03
Last Update Date
2012-12-03
Business Address
Dr. CHARLES WILLIAM JOHNSON D.O.
106 NE WOOD GLEN LN
LEES SUMMIT, MO 64064-1508
Phone number: 816-373-2734
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Mailing Address
Dr. CHARLES WILLIAM JOHNSON D.O.
106 NE WOOD GLEN LN
LEES SUMMIT, MO 64064-1508
Phone number: 816-373-2734
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