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1700076718
JEANNA M JOHNSON
PHOENIX, AZ
NPI
1700076718
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: VT 041-0000312)
Enumeration Date
2007-07-26
Last Update Date
2007-07-26
Business Address
Ms. JEANNA M JOHNSON
7540 N 19TH AVE SUITE200
PHOENIX, AZ 85021-7967
Phone number: 888-873-4221
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Mailing Address
Ms. JEANNA M JOHNSON
922 GATES POND RD PO BOX 991
JACKSONVILLE, VT 05342-9607
Phone number: 802-368-7116
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