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1568739100
JASON RUSSELL JOHNSON
LAKEWOOD, WA
NPI
1568739100
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WA AP60642223)
Enumeration Date
2011-11-28
Last Update Date
2016-04-04
Business Address
-- JASON RUSSELL JOHNSON ARNP
9330 59TH AVE SW
LAKEWOOD, WA 98499-2858
Phone number: 253-620-5015
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Mailing Address
-- JASON RUSSELL JOHNSON ARNP
9330 59TH AVE SW
LAKEWOOD, WA 98499-2858
Phone number: 253-620-5015
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