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1194309724
JACOB JOHNSON
SAN MATEO, CA
NPI
1194309724
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA A184926)
Enumeration Date
2021-05-10
Last Update Date
2023-04-16
Business Address
JACOB JOHNSON MD
225 37TH AVE
SAN MATEO, CA 94403-4324
Phone number: 650-573-2222
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Mailing Address
JACOB JOHNSON MD
1048 CONTINENTALS WAY APT 36
BELMONT, CA 94002-3188
Phone number: 503-804-0815
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