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1053516658
JUSTIN LEE JOHNSON
JEFFERSON CITY, MO
NPI
1053516658
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MO 2007016529)
Enumeration Date
2007-06-15
Last Update Date
2014-04-28
Business Address
Dr. JUSTIN LEE JOHNSON DDS
3551 AMAZONAS DR
JEFFERSON CITY, MO 65109-5717
Phone number: 573-634-2400
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Mailing Address
Dr. JUSTIN LEE JOHNSON DDS
3551 AMAZONAS DR
JEFFERSON CITY, MO 65109-5717
Phone number: 573-634-2400
Copy
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