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1083785760
WAYNE CLAIR JOHNSON
COEUR D ALENE, ID
NPI
1083785760
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date
2006-11-13
Last Update Date
2012-01-24
Business Address
WAYNE CLAIR JOHNSON
3115 N GOVT WAY SUITE #7
COEUR D ALENE, ID 83815-3790
Phone number: 208-762-0797
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Mailing Address
WAYNE CLAIR JOHNSON
3115 N GOVERNMENT WAY SUITE #7
COEUR D ALENE, ID 83815
Phone number: 208-762-0797
Copy
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