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1174622807
JEFF JOHNSON
BOONEVILLE, MS
NPI
1174622807
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MS 1932-81)
Enumeration Date
2006-09-21
Last Update Date
2007-07-08
Business Address
Dr. JEFF JOHNSON D.M.D.
507 E CHURCH ST
BOONEVILLE, MS 38829-3709
Phone number: 662-728-2123
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Mailing Address
Dr. JEFF JOHNSON D.M.D.
507 E CHURCH ST
BOONEVILLE, MS 38829-3709
Phone number: 662-728-2123
Copy
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