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1700801370
MARY E JOHNSTEN
FAIRHOPE, AL
NPI
1700801370
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Former Name
MARY E HOFFMANN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: AL PA-393)
Enumeration Date
2006-07-13
Last Update Date
2019-06-03
Business Address
Mrs. MARY E JOHNSTEN PA-C
411 N SECTION ST
FAIRHOPE, AL 36532
Phone number: 251-660-3470
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Mailing Address
Mrs. MARY E JOHNSTEN PA-C
407 KUMQUAT ST
FAIRHOPE, AL 36532-1246
Phone number: 251-581-2445
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