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Individual

MR. JAMES LOREN JOHNSON JR.

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
963 FORT ST, 4, BUFFALO, WY 82834
(307) 684-8888
(307) 684-8882
Mailing address
PO BOX 423, BUFFALO, WY 82834
(307) 684-8888
(307) 684-8882

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
592
WY

Other

Enumeration date
03/07/2006
Last updated
07/08/2007
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