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1003042664
JESSE THOMAS JOHNSON
BROOKLYN, NY
NPI
1003042664
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 013190)
Enumeration Date
2009-06-09
Last Update Date
2016-08-19
Business Address
Mr. JESSE THOMAS JOHNSON PA
3201 KINGS HWY
BROOKLYN, NY 11234-2625
Phone number: 718-951-2901
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Mailing Address
Mr. JESSE THOMAS JOHNSON PA
3201 KINGS HWY
BROOKLYN, NY 11234-2625
Phone number: 718-951-2901
Copy
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