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Individual

SHAWN M. JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1 FERRY RD, GALVESTON, TX 77550-3185
(409) 766-4752
Mailing address
PO BOX 1912, GALVESTON, TX 77553-1912
(409) 766-4752

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary

Other

Enumeration date
07/14/2008
Last updated
07/14/2008
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