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1558429886
TAMARA JOHNSON
ROYAL OAK, MI
NPI
1558429886
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601004932)
Enumeration Date
2006-12-06
Last Update Date
2020-12-23
Business Address
TAMARA JOHNSON PA
3577 W 13 MILE RD STE 202A
ROYAL OAK, MI 48073-6710
Phone number: 248-551-0669
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Mailing Address
TAMARA JOHNSON PA
26901 BEAUMONT BLVD STE 3D
SOUTHFIELD, MI 48033-3849
Phone number: 248-551-0669
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