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Individual

JAMEY L JOHNSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
C.AC

Contact information

Practice address
2321 E CAPITOL DR, SUITE 100, SHOREWOOD, WI 53211-2119
(414) 460-6492
Mailing address
2321 E CAPITOL DR, SUITE 100, SHOREWOOD, WI 53211-2119
(414) 460-6492

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
463-055
WI

Other

Enumeration date
10/21/2009
Last updated
10/21/2009
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