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1356617021
JACQUELINE JOHNSON
DUARTE, CA
NPI
1356617021
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA22120)
Enumeration Date
2012-03-28
Last Update Date
2022-07-20
Business Address
JACQUELINE JOHNSON PA-C
1500 DUARTE RD
DUARTE, CA 91010-3012
Phone number: 626-256-4673
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Mailing Address
JACQUELINE JOHNSON PA-C
PO BOX 512185
LOS ANGELES, CA 90051-0185
Phone number:
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