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Individual
MR. JACK FRANK JOHNSON III
Active
Individual
MR. JACK FRANK JOHNSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
364SP0200X
Pediatric Clinical Nurse Specialist
Primary
3360
SC
Other
Enumeration date
06/04/2009
Last updated
06/04/2009
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