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1528520392
JONATHAN EDWARD JOHNSON
TALLAHASSEE, FL
NPI
1528520392
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PAT9112112)
Enumeration Date
2019-04-02
Last Update Date
2022-08-19
Business Address
JONATHAN EDWARD JOHNSON
1633 PHYSICIANS DR
TALLAHASSEE, FL 32308-4620
Phone number: 850-431-3276
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Mailing Address
JONATHAN EDWARD JOHNSON
1633 PHYSICIANS DR
TALLAHASSEE, FL 32308-4620
Phone number: 850-431-3276
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