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Gregory Anthony Johansing
General Practice Registered Nurse in Gold Hill, Oregon
NPI 1134819360

Gregory Anthony Johansing is a General Practice Registered Nurse based in Gold Hill, OR and is specialized in General Practice. Gregory Anthony Johansing practices in Gold Hill, OR. The NPI Number for Gregory Anthony Johansing is 1134819360 and holds a License No. 1001452 (Oregon).

The current practice location address for Gregory Anthony Johansing is 530 1/2 Chavner St, Gold Hill, OR and can be reached out via phone at 909-436-9030.

Location: 530 1/2 Chavner St, Gold Hill, OR, 97525-9690
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134819360
Provider Name
Gregory Anthony Johansing
Credential
Provider Entity Type
Individual
Gender
Male
Address
530 1/2 Chavner St, Gold Hill, OR, 97525-9690
Phone Number
909-436-9030
Fax Number
Provider Enumeration Date
05/10/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
530 1/2 Chavner St
City
Gold Hill
State
Oregon
Zip
97525-9690
Phone Number
909-436-9030
Fax Number
person
Provider Business Mailing Address Details
Address
530 1/2 Chavner St
City
Gold Hill
State
Oregon
Zip
97525-9690
Phone Number
909-436-9030
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
General Practice
Taxonomy
163WG0000X
License No.
1001452 (Oregon)
Definition
Definition to come...
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