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1598981052
JEFFREY JAMES JOHNSON
ROCKFORD, IL
NPI
1598981052
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: IL 019)
Enumeration Date
2007-04-17
Last Update Date
2007-07-08
Business Address
Dr. JEFFREY JAMES JOHNSON D.D.S.
4903 E STATE ST
ROCKFORD, IL 61108-2276
Phone number: 815-398-2323
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Mailing Address
Dr. JEFFREY JAMES JOHNSON D.D.S.
4903 E STATE ST
ROCKFORD, IL 61108-2276
Phone number: 815-398-2323
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