Individual
MR. JAMES HARRY JOHNSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
160 KANSAS DR, XENIA, OH 45385-4408
(937) 532-6578
Mailing address
160 KANSAS DR, XENIA, OH 45385-4408
(937) 532-6578
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
12/13/2020
Last updated
12/13/2020
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