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Organization
ABILENE FAMILY MEDICAL CLINIC, LLC
Active
Organization
ABILENE FAMILY MEDICAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDDIE R JOHNSON FNP (OWNER)
(325) 701-9961
Entity
Organization
Contact information
Practice address
4542 S 14TH ST, ABILENE, TX 79605-4737
(325) 701-9961
Mailing address
4542 S 14TH ST, ABILENE, TX 79605-4737
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
603150
TX
Other
Enumeration date
05/19/2014
Last updated
05/19/2014
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