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1962284190
RENE LAWRENCE JOHNSON
TACOMA, WA
NPI
1962284190
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-10-23
Last Update Date
2023-10-23
Business Address
RENE LAWRENCE JOHNSON PA-Student
1708 YAKIMA AVE
TACOMA, WA 98405-5307
Phone number: 831-334-7966
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Mailing Address
RENE LAWRENCE JOHNSON PA-Student
1410 S CUSHMAN AVE
TACOMA, WA 98405-3528
Phone number: 831-334-7966
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