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1942698519
JASON WARREN JOHNSON
TAMPA, FL
NPI
1942698519
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: FL PA 9108170)
Enumeration Date
2015-01-05
Last Update Date
2015-12-04
Business Address
-- JASON WARREN JOHNSON
5210 WEBB RD
TAMPA, FL 33615-4518
Phone number: 813-882-9986
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Mailing Address
-- JASON WARREN JOHNSON
5210 WEBB RD
TAMPA, FL 33615-4518
Phone number: 813-882-9986
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