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1649941675
JASON MARK JOHNSTON
LOUISA, KY
NPI
1649941675
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2021-09-21
Last Update Date
2021-09-21
Business Address
JASON MARK JOHNSTON
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 859-559-3245
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Mailing Address
JASON MARK JOHNSTON
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number:
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