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Individual

BRYAN BRIGHT JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5003 HORIZONS DR STE 100, COLUMBUS, OH 43220-5292
(614) 224-1347
(614) 224-5396
Mailing address
5003 HORIZONS DR STE 100, COLUMBUS, OH 43220-5292
(614) 224-1347
(614) 224-5396

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2752696
OH
251E00000X
Home Health Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2752696
OH
Enumeration date
07/27/2018
Last updated
07/27/2018
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