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Individual

DYTANYON HOWARD JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1450 LANGHORNE RD, LYNCHBURG, VA 24503-2516
(540) 642-7054
(434) 818-0869
Mailing address
1450 LANGHORNE RD, LYNCHBURG, VA 24503-2516
(540) 642-7054
(434) 818-0869

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
T67311448
VA

Other

Enumeration date
05/23/2021
Last updated
05/23/2021
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