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MR. ROBERT LEROY JOHNSON

Attendant Care Provider >> Technician >> Nursing Service Related Providers

Registrant NPI Number: 1053945352

Individual Registrant:
MR. ROBERT LEROY JOHNSON 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
29 TUCKER RD  HARDY, AR 72542-9115 US
Tel: 870-955-0972  Fax: --

Contact information for business:
29 TUCKER RD.  HARDY, AR 72542 US
Tel: 870-955-0972  Fax: --

Registration Information:
NPI: 1053945352
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3747A0650XNursing Service Related Providers
Technician
Attendant Care Provider

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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