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1992780746
JAY WILSON JOHNSON
JACKSONVILLE, FL
NPI
1992780746
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IN 12007800A)
Enumeration Date
2005-12-14
Last Update Date
2009-02-03
Business Address
Dr. JAY WILSON JOHNSON DDS
BLDG H 2005 KNIGHT LANE NAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL STAFF SVCS
JACKSONVILLE, FL 32212-0140
Phone number: 760-725-5102
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Mailing Address
Dr. JAY WILSON JOHNSON DDS
PO BOX 555221
CAMP PENDLETON, CA 92055-5221
Phone number: 760-725-5102
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