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1164011490
JEAN M JOHNSON
BOWLING GREEN, KY
NPI
1164011490
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: KY TSA008)
Enumeration Date
2021-01-12
Last Update Date
2021-01-12
Business Address
JEAN M JOHNSON
250 PARK ST
BOWLING GREEN, KY 42101-1760
Phone number: 270-781-4828
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Mailing Address
JEAN M JOHNSON
1945 SCOTTSVILLE RD B2 PMB 397
BOWLING GREEN, KY 42104
Phone number: 270-781-4828
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