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1962190207
ANDREW TIMOTHY JOHNSON
SIOUX FALLS, SD
NPI
1962190207
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OK R0117101)
Enumeration Date
2023-04-25
Last Update Date
2023-04-25
Business Address
ANDREW TIMOTHY JOHNSON RN
5001 W 41ST ST
SIOUX FALLS, SD 57106-1424
Phone number: 605-362-0100
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Mailing Address
ANDREW TIMOTHY JOHNSON RN
204 S 62ND ST
BROKEN ARROW, OK 74014-6932
Phone number: 918-932-7007
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