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BRANDON TRAE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
2045 WESTGATE DR, BETHLEHEM, PA 18017-7480
(484) 893-3788
Mailing address
2045 WESTGATE DR, BETHLEHEM, PA 18017-7480
(484) 893-3788

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN636052
PA

Other

Enumeration date
09/26/2014
Last updated
09/26/2014
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