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Individual

HARRY RICHARD JOHNSON JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3722 PARSONS AVE, ANCHORAGE, AK 99508-1216
(907) 258-1141
Mailing address
PO BOX 232666, ANCHORAGE, AK 99523-2666
(907) 764-4753

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary

Other

Enumeration date
08/29/2012
Last updated
08/29/2012
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