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1457880510
AUTUMN LAUREN JOHNSON
SANTA ANA, CA
NPI
1457880510
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Former Name
AUTUMN LAUREN PURKEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2017-06-12
Last Update Date
2017-06-12
Business Address
Mrs. AUTUMN LAUREN JOHNSON MPAP, PA-C
2650 S BRISTOL ST STE 101
SANTA ANA, CA 92704-5751
Phone number: 714-754-1444
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Mailing Address
Mrs. AUTUMN LAUREN JOHNSON MPAP, PA-C
360 GIOTTO
IRVINE, CA 92614-8581
Phone number:
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