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1952332322
KENNETH CLARK JOHNSON
INDIANAPOLIS, IN
NPI
1952332322
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05005624A)
Enumeration Date
2006-07-05
Last Update Date
2014-10-28
Business Address
-- KENNETH CLARK JOHNSON P.T.
7855 S EMERSON AVE SUITE W
INDIANAPOLIS, IN 46237-8668
Phone number: 317-581-1890
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Mailing Address
-- KENNETH CLARK JOHNSON P.T.
8902 N MERIDIAN ST STE 215
INDIANAPOLIS, IN 46260-5382
Phone number: 317-581-1890
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