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1932559119
RYAN MICHAEL JOHNSON
NORMAL, IL
NPI
1932559119
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207T00000X Neurological Surgery
(Licence: IL 125069500)
Enumeration Date
2016-06-17
Last Update Date
2016-06-17
Business Address
Dr. RYAN MICHAEL JOHNSON D.O.
1300 FRANKLIN AVE STE 110
NORMAL, IL 61761-3799
Phone number: 309-268-3502
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Mailing Address
Dr. RYAN MICHAEL JOHNSON D.O.
2000 N LINDEN ST APT C305
NORMAL, IL 61761-5337
Phone number: 740-632-3117
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