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1467752915
JASON BRADLEY JOHNSON
TYLER, TX
NPI
1467752915
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 714451)
Enumeration Date
2010-11-01
Last Update Date
2011-03-31
Business Address
Mr. JASON BRADLEY JOHNSON NP-C
700 OLYMPIC PLAZA CIR SUITE 600
TYLER, TX 75701-1951
Phone number: 903-596-3844
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Mailing Address
Mr. JASON BRADLEY JOHNSON NP-C
901 TURTLE CREEK DR
TYLER, TX 75701-1947
Phone number: 903-596-3588
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