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1477001501
JESSICA JOHNSON
GORHAM, ME
NPI
1477001501
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: ME CNP161162)
Enumeration Date
2016-09-19
Last Update Date
2020-09-23
Business Address
JESSICA JOHNSON
575 MAIN ST
GORHAM, ME 04038-2623
Phone number: 207-839-2559
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Mailing Address
JESSICA JOHNSON
PO BOX 9746
PORTLAND, ME 04104-5040
Phone number:
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