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1053870717
MATTHEW JOHNSON
LONGVIEW, WA
NPI
1053870717
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2019-03-12
Last Update Date
2021-03-24
Business Address
MATTHEW JOHNSON Physician Assistant
1615 DELAWARE ST
LONGVIEW, WA 98632-2367
Phone number: 360-414-2730
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Mailing Address
MATTHEW JOHNSON Physician Assistant
900 OCEAN BEACH HWY STE 110
LONGVIEW, WA 98632-4171
Phone number: 360-648-8860
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