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1518558691
KALEB JOHNSON
INDIANAPOLIS, IN
NPI
1518558691
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IN 10003658A)
Enumeration Date
2021-02-01
Last Update Date
2023-01-25
Business Address
KALEB JOHNSON PA-C
8051 S EMERSON AVE STE 200
INDIANAPOLIS, IN 46237-8632
Phone number: 317-865-2955
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Mailing Address
KALEB JOHNSON PA-C
8051 S EMERSON AVE STE 200
INDIANAPOLIS, IN 46237-8632
Phone number: 317-865-2955
Copy
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