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1659847325
KATELYN MARIE JOHNSON
INDIANAPOLIS, IN
NPI
1659847325
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: IN 10002632A)
Enumeration Date
2018-10-19
Last Update Date
2023-10-03
Business Address
KATELYN MARIE JOHNSON PA-C
5230 E STOP 11 RD STE 150
INDIANAPOLIS, IN 46237-6399
Phone number: 317-865-5904
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Mailing Address
KATELYN MARIE JOHNSON PA-C
PO BOX 781076
DETROIT, MI 48278-1076
Phone number: 317-528-4800
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