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1932680881
JAMIE J JOHNSON
DAYTONA BEACH, FL
NPI
1932680881
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9111384)
Enumeration Date
2018-08-28
Last Update Date
2018-08-28
Business Address
Mr. JAMIE J JOHNSON PA-C
1890 LPGA BLVD STE 130
DAYTONA BEACH, FL 32117-7131
Phone number: 386-274-2212
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Mailing Address
Mr. JAMIE J JOHNSON PA-C
500 LOXLEY CT
TITUSVILLE, FL 32780-3219
Phone number: 321-863-6551
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