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1710006382
JENNIFER MYIA JOHNSON
BOULDER, CO
NPI
1710006382
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CO 43964)
Enumeration Date
2007-03-28
Last Update Date
2023-03-07
Business Address
JENNIFER MYIA JOHNSON M.D.
2880 FOLSOM ST STE 100
BOULDER, CO 80304-3769
Phone number: 303-327-7047
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Mailing Address
JENNIFER MYIA JOHNSON M.D.
PO BOX 1628
LONGMONT, CO 80502-1628
Phone number: 303-651-5139
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