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Individual

ROBERT CHARLES JOHNSON III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
63 WOODRIDGE DR, LITTLE ROCK, AR 72204-7124
(501) 960-4490
Mailing address
63 WOODRIDGE DR, LITTLE ROCK, AR 72204-7124

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
AR

Other

Enumeration date
09/19/2024
Last updated
09/19/2024
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