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Individual
JOSHUA R JOHNSON
Active
Individual
JOSHUA R JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085003901
IL
Other
Enumeration date
02/24/2011
Last updated
02/24/2011
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