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1083837116
JAY JOHNSON
HOMER GLEN, IL
NPI
1083837116
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070015691)
Enumeration Date
2007-04-10
Last Update Date
2007-07-08
Business Address
-- JAY JOHNSON MPT
14301 S GOLDEN OAK DR
HOMER GLEN, IL 60491-9696
Phone number: 708-645-7700
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Mailing Address
-- JAY JOHNSON MPT
26234 W LESLIE DR
CHANNAHON, IL 60410-5373
Phone number:
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