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1033640933
KENNETH JOHNSON
RIVERSIDE, CA
NPI
1033640933
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: CA A159476)
Enumeration Date
2017-03-22
Last Update Date
2019-12-19
Business Address
KENNETH JOHNSON MD
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501-4135
Phone number: 951-788-3537
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Mailing Address
KENNETH JOHNSON MD
9155 SANTA BARBARA DR
RIVERSIDE, CA 92508-6496
Phone number: 951-235-7665
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