KRYSTLE ELIZABETH AMELIA JOHNSON

JACKSON, TN
NPI1497312797
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: TN  12104)
Enumeration Date2019-05-22
Last Update Date2023-01-19
Business Address
KRYSTLE ELIZABETH AMELIA JOHNSON
1108 WHITEHALL ST
JACKSON, TN 38301-3730
Phone number: 731-410-7161
Mailing Address
KRYSTLE ELIZABETH AMELIA JOHNSON
1108 WHITEHALL ST
JACKSON, TN 38301-3730
Phone number: 731-410-7161
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