Justin Dewayne Johnson

NPI 1013251529 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1013251529
Gender Male
Enumeration Date 11/21/2012
Last Updated 11/21/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
7107 W 12TH ST
SUITE 201
LITTLE ROCK AR, 72204-2404, US
Phone (501) 663-1837
Fax
Business Location
7107 W 12TH ST
SUITE 201
LITTLE ROCK AR, 72204-2404, US
Phone (501) 663-1837
Fax
Toxanomy
Taxonomy Code 171M00000X
License State
License Number
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According to our database, Mr. Justin Dewayne Johnson NPI is 1013251529, taxonomy code is 171M00000X Justin Dewayne Johnson physically located at 7107 W 12th St, Little Rock AR, 72204-2404. NPI Number Justin Dewayne Johnson has the Individual type.

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1013251529 NPI number is provided on an as is basis without warranty of any kind. 1013251529 is maintained by the National Plan & Provider Enumeration System. The contents of Justin Dewayne Johnson are for informational purposes only.