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Individual
MR. ADAM DUANE JOHNSON
Active
Individual
MR. ADAM DUANE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
6595846-4408
UT
Other
Enumeration date
01/10/2013
Last updated
01/10/2013
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