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1952973463
EVAN MICHAEL JOHNSON
FAYETTEVILLE, AR
NPI
1952973463
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: AR 4528)
Enumeration Date
2021-07-14
Last Update Date
2021-08-02
Business Address
Dr. EVAN MICHAEL JOHNSON DDS
1874 N HUNTERS RDG STE 2
FAYETTEVILLE, AR 72701-2896
Phone number: 479-444-0339
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Mailing Address
Dr. EVAN MICHAEL JOHNSON DDS
1874 N HUNTERS RDG STE 2
FAYETTEVILLE, AR 72701-2896
Phone number: 479-444-0339
Copy
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