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1932813300
JORDAN LANE JOHNSON
COLUMBUS, IN
NPI
1932813300
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2023-01-10
Last Update Date
2023-01-10
Business Address
JORDAN LANE JOHNSON
5211 GERMAN CT
COLUMBUS, IN 47203-9689
Phone number: 812-657-1026
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Mailing Address
JORDAN LANE JOHNSON
5211 GERMAN CT
COLUMBUS, IN 47203-9689
Phone number: 812-657-1026
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