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1497715262
JAY A JOHNSON
DES MOINES, IA
NPI
1497715262
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IA 3360)
Enumeration Date
2006-03-25
Last Update Date
2012-08-09
Business Address
-- JAY A JOHNSON DO
2103 INGERSOLL AVE
DES MOINES, IA 50312-5262
Phone number: 515-279-6424
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Mailing Address
-- JAY A JOHNSON DO
2103 INGERSOLL AVENUE
DES MOINES, IA 50312-5262
Phone number: 515-279-6424
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