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1891277174
JENELLE KRISTINE JOHNSON
TALKEETNA, AK
NPI
1891277174
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AK 148759)
Enumeration Date
2018-09-03
Last Update Date
2020-01-29
Business Address
JENELLE KRISTINE JOHNSON
34300 S TALKEETNA SPUR ROAD
TALKEETNA, AK 99676-9701
Phone number: 907-733-2273
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Mailing Address
JENELLE KRISTINE JOHNSON
HC 89 BOX 8190
TALKEETNA, AK 99676-9701
Phone number: 907-733-2273
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