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Individual
DR. JACQUELINE MARIE JOHNSON
Active
Individual
DR. JACQUELINE MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO161555
OR
207Q00000X
Family Medicine Physician
O-0482
ID
Other
Enumeration date
07/19/2007
Last updated
08/09/2023
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