JAKE JOHNSON

LUBBOCK, TX
NPI1548732076
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  838272)
Enumeration Date2018-12-21
Last Update Date2018-12-21
Business Address
JAKE JOHNSON CRNA
602 INDIANA AVE
LUBBOCK, TX 79415-3364
Phone number: 806-775-8200
Mailing Address
JAKE JOHNSON CRNA
531 N CHICAGO AVE APT B
LUBBOCK, TX 79416-2911
Phone number: 806-881-7317
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