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1922884758
JACOB MARC JOHNSON
BARKSDALE AFB, LA
NPI
1922884758
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2023-09-07
Last Update Date
2024-10-10
Business Address
JACOB MARC JOHNSON PA-C
243 CURTISS RD
BARKSDALE AFB, LA 71110-2425
Phone number: 318-456-6555
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Mailing Address
JACOB MARC JOHNSON PA-C
243 CURTISS RD
BARKSDALE AFB, LA 71110-2425
Phone number:
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