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Individual

MR. JONATHAN JOHN JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
129 MEDICINE HORSE DR., TO'HAJIILEE, NM 87026
(505) 908-2307
Mailing address
129 MEDICINE HORSE DR., TO'HAJIILEE, NM 87026
(505) 908-2307

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
G-1685
NM

Other

Enumeration date
02/11/2025
Last updated
02/11/2026
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