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1992001150
JENNIFER LYNN JOHNSON
PHOENIX, AZ
NPI
1992001150
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TS0200X Psychologist School
Enumeration Date
2011-02-07
Last Update Date
2011-02-07
Business Address
JENNIFER LYNN JOHNSON
4711 N 23RD AVE
PHOENIX, AZ 85015-3478
Phone number: 602-242-2442
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Mailing Address
JENNIFER LYNN JOHNSON
5134 W SPUR DR
PHOENIX, AZ 85083-1281
Phone number: 623-580-0898
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