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1508986027
JEFFREY D JOHNSON
PROVO, UT
NPI
1508986027
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: UT 144997-9922)
Enumeration Date
2007-03-29
Last Update Date
2007-07-08
Business Address
Dr. JEFFREY D JOHNSON D.D.S.
1275 N UNIVERSITY AVE STE 6
PROVO, UT 84604-2661
Phone number: 801-375-9511
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Mailing Address
Dr. JEFFREY D JOHNSON D.D.S.
1275 N UNIVERSITY AVE #6
PROVO, UT 84604-2654
Phone number: 801-375-9511
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