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1336798511
EBONY L JOHNSON
JEFFERSON CITY, MO
NPI
1336798511
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Former Name
EBONY L MARSHALL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 2019020760)
Enumeration Date
2019-09-10
Last Update Date
2019-09-10
Business Address
EBONY L JOHNSON PT
1115 FAIRGROUNDS RD
JEFFERSON CITY, MO 65109-5443
Phone number: 573-634-3070
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Mailing Address
EBONY L JOHNSON PT
1115 FAIRGROUNDS RD
JEFFERSON CITY, MO 65109-5443
Phone number: 573-634-3070
Copy
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