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Individual
DR. JUSTIN JOHNSON
Active
Individual
DR. JUSTIN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
12829
SD
207L00000X
Anesthesiology Physician
R4455
KY
Other
Enumeration date
06/15/2016
Last updated
02/02/2023
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