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1013571439
JASON JOHNSTON
NAMPA, ID
NPI
1013571439
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID M-15508)
Enumeration Date
2019-05-01
Last Update Date
2023-12-28
Business Address
JASON JOHNSTON MD
1820 CALDWELL BLVD
NAMPA, ID 83651-1505
Phone number: 208-466-6567
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Mailing Address
JASON JOHNSTON MD
PO BOX 191050
BOISE, ID 83719-1050
Phone number: 208-955-6500
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