BO JOHNSON

MONMOUTH, OR
NPI1003440827
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2020-03-02
Last Update Date2020-03-02
Business Address
BO JOHNSON
345 MONMOUTH AVE N
MONMOUTH, OR 97361-1329
Phone number: 503-838-8343
Mailing Address
BO JOHNSON
427 KESTREL ST N
KEIZER, OR 97303-5311
Phone number:
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