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Individual

DANTE PIERRE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2141 CENTURY FARMS PKWY APT 2408, ANTIOCH, TN 37013-5571
(615) 487-2668
Mailing address
2141 CENTURY FARMS PKWY APT 2408, ANTIOCH, TN 37013-5571
(615) 487-2668

Taxonomy

Speciality
Code
Description
License number
State
374K00000X
Religious Nonmedical Practitioner
Primary

Other

Enumeration date
02/18/2025
Last updated
02/18/2025
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