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1376191569
JEREMY DUANE JOHNSON
COLORADO SPRINGS, CO
NPI
1376191569
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CO PA.0005940)
Enumeration Date
2019-08-30
Last Update Date
2021-03-17
Business Address
JEREMY DUANE JOHNSON PA-C
9320 GRAND CORDERA PKWY STE 100
COLORADO SPRINGS, CO 80924-7004
Phone number: 719-282-6337
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Mailing Address
JEREMY DUANE JOHNSON PA-C
715 S 9TH ST
CANON CITY, CO 81212-4911
Phone number: 719-268-8820
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