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1003189366
JOHN JOSEPH JOHNSON
LEWISTON, ID
NPI
1003189366
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: ID D-3189)
Enumeration Date
2012-02-17
Last Update Date
2012-02-17
Business Address
-- JOHN JOSEPH JOHNSON DDS
3510 12TH STREET SUITE #600
LEWISTON, ID 83501
Phone number: 208-798-7955
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Mailing Address
-- JOHN JOSEPH JOHNSON DDS
3510 12TH STREET SUITE #600
LEWISTON, ID 83501
Phone number: 208-798-7955
Copy
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