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1689609547
JAY W JOHANSEN
ATLANTA, GA
NPI
1689609547
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: GA 036188)
Enumeration Date
2006-07-11
Last Update Date
2013-09-17
Business Address
Dr. JAY W JOHANSEN MD, PhD
1364 CLIFTON RD NE
ATLANTA, GA 30322-1059
Phone number: 404-778-5762
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Mailing Address
Dr. JAY W JOHANSEN MD, PhD
1610 QUEENSLAND CT
ALPHARETTA, GA 30005-6970
Phone number: 404-273-5564
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