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1750977252
JONATHAN JOHNSON
SHREVEPORT, LA
NPI
1750977252
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 1057014)
Enumeration Date
2020-12-18
Last Update Date
2022-09-09
Business Address
JONATHAN JOHNSON CRNA
1541 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0000
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Mailing Address
JONATHAN JOHNSON CRNA
1512 W KIRBY PL
SHREVEPORT, LA 71103-3822
Phone number: 318-626-0284
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