JORDAN LANE JOHNSON

COLUMBUS, IN
NPI1932813300
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2023-01-10
Last Update Date2023-01-10
Business Address
JORDAN LANE JOHNSON
5211 GERMAN CT
COLUMBUS, IN 47203-9689
Phone number: 812-657-1026
Mailing Address
JORDAN LANE JOHNSON
5211 GERMAN CT
COLUMBUS, IN 47203-9689
Phone number: 812-657-1026
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