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1669224507
JACK JOHNSTON
GAINESVILLE, FL
NPI
1669224507
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-03
Last Update Date
2024-04-03
Business Address
JACK JOHNSTON MD
1600 SW ARCHER RD, GAINESVILLE, FL 32610
GAINESVILLE, FL 32610
Phone number: 352-273-9914
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Mailing Address
JACK JOHNSTON MD
3990 PINNACLE VIEW DR
HURRICANE, WV 25526-7413
Phone number: 304-553-2842
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