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Individual

JOHNNY BLAKE WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AUD

Contact information

Practice address
1201 E 9TH ST, BONHAM, TX 75418-4059
(903) 583-6456
Mailing address
1201 E 9TH ST, BONHAM, TX 75418-4059
(903) 583-6456

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
11757011-4101
UT

Other

Enumeration date
06/04/2020
Last updated
06/04/2020
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