Individual
JAZMIN NICOLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1361 W FREMONT ST, GALESBURG, IL 61401-2436
(309) 344-2224
Mailing address
1361 W FREMONT ST, GALESBURG, IL 61401-2436
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.036186
IL
Other
Enumeration date
06/27/2025
Last updated
06/27/2025
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