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1053981365
MARIANNE ROXIE JOHNSON
AUSTIN, TX
NPI
1053981365
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA14274)
Enumeration Date
2021-06-29
Last Update Date
2021-09-14
Business Address
MARIANNE ROXIE JOHNSON
4310 JAMES CASEY ST STE 4A
AUSTIN, TX 78745-1120
Phone number: 512-448-4588
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Mailing Address
MARIANNE ROXIE JOHNSON
PO BOX 10597
AUSTIN, TX 78766-1597
Phone number: 512-448-4588
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