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Individual
CLAY JOHNSON
Active
Individual
CLAY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00676700
NJ
363A00000X
Physician Assistant
MA061958
PA
Other
Enumeration date
10/23/2020
Last updated
03/31/2022
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