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1043756414
KENNETH BYRON JOHNSON
UNALASKA, AK
NPI
1043756414
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: AK PHYP2225)
Enumeration Date
2017-01-10
Last Update Date
2017-01-10
Business Address
Mr. KENNETH BYRON JOHNSON Physical Therapist
36 LAVELLE COURT
UNALASKA, AK 99685
Phone number: 907-581-1202
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Mailing Address
Mr. KENNETH BYRON JOHNSON Physical Therapist
PO BOX 921103
DUTCH HARBOR, AK 99692-1103
Phone number: 907-359-3585
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