GROVER CLEVELAND JOHNSON

JEFFERSON CITY, MO
NPI1023759206
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MO  2018037368)
Enumeration Date2022-04-05
Last Update Date2022-04-05
Business Address
GROVER CLEVELAND JOHNSON
3600 COUNTRY CLUB DR STE 530A
JEFFERSON CITY, MO 65109-1060
Phone number: 573-606-7100
Mailing Address
GROVER CLEVELAND JOHNSON
7530 ENON RD
RUSSELLVILLE, MO 65074-2602
Phone number:
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