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1902358724
JASON JOHNSON
KINGSPORT, TN
NPI
1902358724
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 5187)
Enumeration Date
2016-10-27
Last Update Date
2016-10-27
Business Address
-- JASON JOHNSON PTA
2300 PAVILION DR
KINGSPORT, TN 37660-4622
Phone number: 423-765-9655
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Mailing Address
-- JASON JOHNSON PTA
303 SHELBY AVE
CHURCH HILL, TN 37642-3156
Phone number: 423-863-2418
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