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1194781153
JEFFREY JOHNSON
BINGHAM FARMS, MI
NPI
1194781153
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: MI 4704127280)
Enumeration Date
2006-04-26
Last Update Date
2007-07-08
Business Address
-- JEFFREY JOHNSON CRNA
30200 TELEGRAPH RD SUITE 220
BINGHAM FARMS, MI 48025-4502
Phone number: 248-258-5058
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Mailing Address
-- JEFFREY JOHNSON CRNA
13950 BUNKERHILL RD
MUNITH, MI 49259-9732
Phone number:
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