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1932689619
KENNETH JAY JOHNSON
BOERNE, TX
NPI
1932689619
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2073072)
Enumeration Date
2018-08-21
Last Update Date
2018-08-21
Business Address
KENNETH JAY JOHNSON
1440 RIVER RD
BOERNE, TX 78006-1958
Phone number: 830-816-5095
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Mailing Address
KENNETH JAY JOHNSON
1440 RIVER RD
BOERNE, TX 78006-1958
Phone number: 830-816-5095
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