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1730285008
JAN GARY JOHNSON
LONGVIEW, WA
NPI
1730285008
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: WA 2721)
Enumeration Date
2006-09-15
Last Update Date
2007-07-08
Business Address
Dr. JAN GARY JOHNSON Ph.D.
945 11TH AVE SUITE B
LONGVIEW, WA 98632-2555
Phone number: 360-414-8600
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Mailing Address
Dr. JAN GARY JOHNSON Ph.D.
945 11TH AVE SUITE B
LONGVIEW, WA 98632-2555
Phone number: 360-414-8600
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