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1407908742
JOLLY SAMUEL JOHNSON
FORT COLLINS, CO
NPI
1407908742
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CO 9112)
Enumeration Date
2007-01-17
Last Update Date
2020-11-02
Business Address
JOLLY SAMUEL JOHNSON DDS
2132 E HARMONY RD
FORT COLLINS, CO 80528-9504
Phone number: 970-287-3701
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Mailing Address
JOLLY SAMUEL JOHNSON DDS
2132 E HARMONY RD
FORT COLLINS, CO 80528-9504
Phone number: 970-287-3701
Copy
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