COLLIN JOHANSEN

CAMP LEJEUNE, NC
NPI1396389334
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2019-11-02
Last Update Date2025-08-19
Business Address
COLLIN JOHANSEN
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547-2575
Phone number: 910-450-4357
Mailing Address
COLLIN JOHANSEN
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547-2575
Phone number: 910-450-4357
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