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1235779737
JACOB WAYNE JOHNS
PHOENIX, AZ
NPI
1235779737
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AZ 236439)
Enumeration Date
2020-01-13
Last Update Date
2021-11-17
Business Address
JACOB WAYNE JOHNS
2728 N 24TH ST
PHOENIX, AZ 85008-1050
Phone number: 844-646-3247
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Mailing Address
JACOB WAYNE JOHNS
2728 N 24TH ST
PHOENIX, AZ 85008-1050
Phone number: 844-646-3247
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