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1023171071
JAY D. JOHNSON
ANCHORAGE, AK
NPI
1023171071
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080A0000X Pediatrics Adolescent Medicine
(Licence: OK 4028)
Enumeration Date
2006-12-19
Last Update Date
2008-08-04
Business Address
JAY D. JOHNSON D.O.
3801 LAKE OTIS PKWY STE 200
ANCHORAGE, AK 99508-5234
Phone number: 907-212-6900
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Mailing Address
JAY D. JOHNSON D.O.
3801 LAKE OTIS PKWY STE 200
ANCHORAGE, AK 99508-5234
Phone number: 907-212-6900
Copy
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