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Individual

MR. JAROLD THOMAS JOHNSTON JR.

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
CNM, IBCLC

Contact information

Practice address
WOMACK ARMY MEDICAL CENTER, FORT BRAGG, NC 28310-0001
(910) 907-6920
(910) 907-6920
Mailing address
130 MAZAK CT, FORT BRAGG, NC 28307-2512
(910) 213-4405
(910) 907-6920

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
115019
TN

Other

Enumeration date
04/06/2006
Last updated
07/08/2007
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