JACK ALEXANDER JOHNSON

DES MOINES, IA
NPI1467229666
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-12-07
Last Update Date2023-12-07
Business Address
JACK ALEXANDER JOHNSON
1200 PLEASANT ST
DES MOINES, IA 50309-1406
Phone number: 515-241-6962
Mailing Address
JACK ALEXANDER JOHNSON
5032 WISTFUL VISTA DR
WEST DES MOINES, IA 50265-6922
Phone number: 515-783-5022
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