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1336514645
SAMANTHA JOHNSTON
COTTONWOOD, AZ
NPI
1336514645
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Former Name
SAMANTHA GARDNER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: AZ 6297)
Enumeration Date
2015-12-11
Last Update Date
2016-06-16
Business Address
-- SAMANTHA JOHNSTON PA-C
51 S BRIAN MICKELSEN PKWY
COTTONWOOD, AZ 86326-3610
Phone number: 928-639-8132
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Mailing Address
-- SAMANTHA JOHNSTON PA-C
1090 COMMERCE DR
PRESCOTT, AZ 86305-3700
Phone number: 928-583-1000
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