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1699514505
BEAU JOHNSON
TRAVERSE CITY, MI
NPI
1699514505
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601012454)
Enumeration Date
2024-05-21
Last Update Date
2024-06-03
Business Address
BEAU JOHNSON PA
1105 SIXTH ST
TRAVERSE CITY, MI 49684-2345
Phone number: 231-935-5000
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Mailing Address
BEAU JOHNSON PA
2913 N IONIA RD
VERMONTVILLE, MI 49096-9597
Phone number: 517-588-9833
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