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1205889342
JENNIE M JOHANNESEN
COOPERSTOWN, NY
NPI
1205889342
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 004407)
Enumeration Date
2006-05-18
Last Update Date
2007-07-08
Business Address
-- JENNIE M JOHANNESEN P.A.
1 ATWELL RD
COOPERSTOWN, NY 13326-1301
Phone number: 607-547-3909
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Mailing Address
-- JENNIE M JOHANNESEN P.A.
PO BOX 725
COOPERSTOWN, NY 13326-0725
Phone number: 607-547-3909
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