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1033414248
NICOLE MARIE JOHNSON
MIDVALE, UT
NPI
1033414248
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 8975784-1206)
Enumeration Date
2011-01-19
Last Update Date
2020-06-23
Business Address
MISS NICOLE MARIE JOHNSON PA-C
7302 S BINGHAM JUNCTION BLVD
MIDVALE, UT 84047-4804
Phone number: 801-442-5502
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Mailing Address
MISS NICOLE MARIE JOHNSON PA-C
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-442-5502
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