JACOB JOHNSON

HOLLY RIDGE, NC
NPI1588273999
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2020-07-31
Last Update Date2020-07-31
Business Address
JACOB JOHNSON SOIDC
413 SALVO CT
HOLLY RIDGE, NC 28445-8609
Phone number: 573-201-6504
Mailing Address
JACOB JOHNSON SOIDC
413 SALVO CT
HOLLY RIDGE, NC 28445-8609
Phone number:
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