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1982147930
JOSHUA ALLEN JOHANSEN
CAMP LEJEUNE, NC
NPI
1982147930
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085.006596)
Enumeration Date
2016-11-23
Last Update Date
2023-11-02
Business Address
JOSHUA ALLEN JOHANSEN PA-C
1250 BIRCH ST
CAMP LEJEUNE, NC 28547-2529
Phone number: 950-451-1095
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Mailing Address
JOSHUA ALLEN JOHANSEN PA-C
2015 GUM BRANCH RD APT 817
JACKSONVILLE, NC 28540-5074
Phone number: 503-560-1677
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