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Individual

NOLAN JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
234 GOODMAN ST, CINCINNATI, OH 45219-2364
(513) 558-5281
(513) 558-5791
Mailing address
PO BOX 636256, CINCINNATI, OH 45263-6256
(513) 245-3600
(513) 245-3672

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.005222RX
OH

Other

Enumeration date
08/17/2017
Last updated
09/14/2017
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