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1700665569
SOPHIE RAE JOHNSON
MESA, AZ
NPI
1700665569
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AZ 9973)
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2023-09-21
Last Update Date
2023-11-29
Business Address
SOPHIE RAE JOHNSON PA-C
1400 S DOBSON RD
MESA, AZ 85202-4707
Phone number: 480-412-3000
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Mailing Address
SOPHIE RAE JOHNSON PA-C
48 RIVER ST
JACKSON, MN 56143-3369
Phone number: 507-840-0788
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