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1508248022
JACLYN NICOLE JOHNSON
KINGWOOD, WV
NPI
1508248022
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: WV 4171)
Enumeration Date
2015-06-20
Last Update Date
2015-06-20
Business Address
Dr. JACLYN NICOLE JOHNSON D.D.S.
202 TUNNELTON ST STE 214
KINGWOOD, WV 26537-1452
Phone number: 304-329-1989
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Mailing Address
Dr. JACLYN NICOLE JOHNSON D.D.S.
202 TUNNELTON ST STE 214
KINGWOOD, WV 26537-1452
Phone number: 304-329-1989
Copy
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