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1083897011
JEREMY MICHAEL JOHNSON
PHOENIX, AZ
NPI
1083897011
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AZ LP031774)
Enumeration Date
2007-12-13
Last Update Date
2007-12-13
Business Address
MR. JEREMY MICHAEL JOHNSON L.P.N.
3401 N 67TH AVE
PHOENIX, AZ 85033-4517
Phone number: 623-691-4085
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Mailing Address
MR. JEREMY MICHAEL JOHNSON L.P.N.
1626 N LOS ALTOS CT
CHANDLER, AZ 85224-8357
Phone number:
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