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1124031695
JODI BROOKE JOHNSON
SAINT LOUIS, MO
NPI
1124031695
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MO 2005017506)
Enumeration Date
2006-08-14
Last Update Date
2014-02-18
Business Address
-- JODI BROOKE JOHNSON dmd
9775 SAINT CHARLES ROCK RD
SAINT LOUIS, MO 63114-2635
Phone number: 314-427-7400
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Mailing Address
-- JODI BROOKE JOHNSON dmd
9775 SAINT CHARLES ROCK RD
SAINT LOUIS, MO 63114-2635
Phone number: 314-427-7400
Copy
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