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Jessica Lyn Johnson

Chore Provider in Gahanna, OH. Individual provider (NPI-1).

NPI number1922417898
StatusActive
Last updated in NPPESAug 5, 2014

Details

NPI
1922417898
Entity type
Individual (NPI-1)
Name
Mrs. Jessica Lyn Johnson
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 5, 2014
Last updated
Aug 5, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
372500000X Chore Provider––Yes

Practice location

3963 Maidstone Dr
Gahanna, OH 43230-4513

Phone 614-316-8046

Mailing address

3963 Maidstone Dr
Gahanna, OH 43230-4513

Phone 614-316-8046

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