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1740938018
COREY LEE JOHNSON
JACKSON, TN
NPI
1740938018
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TN 31745)
Enumeration Date
2022-03-15
Last Update Date
2023-03-17
Business Address
COREY LEE JOHNSON
620 SKYLINE DR
JACKSON, TN 38301-3923
Phone number: 731-541-7070
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Mailing Address
COREY LEE JOHNSON
46 LYNWOOD ST
LEXINGTON, TN 38351-1316
Phone number: 731-602-0757
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