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1083246920
DORA JOHNSON
NAMPA, ID
NPI
1083246920
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID MRM-2050)
Enumeration Date
2020-02-09
Last Update Date
2021-07-13
Business Address
DORA JOHNSON MD
9850 W ST LUKES DR STE 329
NAMPA, ID 83687-7912
Phone number: 208-514-2509
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Mailing Address
DORA JOHNSON MD
777 N RAYMOND ST
BOISE, ID 83704-9251
Phone number: 208-514-2500
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