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1154179190
COLETTE JOHNSON
JEFFERSON CITY, TN
NPI
1154179190
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TN 5955)
Enumeration Date
2024-05-06
Last Update Date
2024-07-25
Business Address
Mrs. COLETTE JOHNSON
657 E BROADWAY BLVD STE D
JEFFERSON CITY, TN 37760-4949
Phone number: 865-262-0037
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Mailing Address
Mrs. COLETTE JOHNSON
657 E BROADWAY BLVD STE D
JEFFERSON CITY, TN 37760-4949
Phone number:
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