JORDAN LEE JOHNSON

TYLER, TX
NPI1932772076
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  136156)
Enumeration Date2021-07-16
Last Update Date2021-07-16
Business Address
JORDAN LEE JOHNSON
10983 BIGHORN DR
TYLER, TX 75707-5360
Phone number: 318-312-1772
Mailing Address
JORDAN LEE JOHNSON
10983 BIGHORN DR
TYLER, TX 75707-5360
Phone number: 318-312-1772
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