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1891714234
MICHAEL JAMES JOHNSON
PUEBLO, CO
NPI
1891714234
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CO 595)
Enumeration Date
2006-07-18
Last Update Date
2023-03-07
Business Address
Mr. MICHAEL JAMES JOHNSON PA
1008 MINNEQUA AVE
PUEBLO, CO 81004-3733
Phone number: 719-560-5656
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Mailing Address
Mr. MICHAEL JAMES JOHNSON PA
445 E CHEYENNE MOUNTAIN BLVD STE C PMB 406
COLORADO SPRINGS, CO 80906-4570
Phone number: 719-538-8100
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