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1083795280
BRANDON TRAVIS JOHNSON
PORT ANGELES, WA
NPI
1083795280
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: WA DE00010678)
Enumeration Date
2006-10-17
Last Update Date
2007-07-08
Business Address
Dr. BRANDON TRAVIS JOHNSON D.D.S.
426 E 8TH ST
PORT ANGELES, WA 98362-6220
Phone number: 360-457-0489
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Mailing Address
Dr. BRANDON TRAVIS JOHNSON D.D.S.
713 ESTES CT
PORT ANGELES, WA 98363-1452
Phone number: 306-452-0489
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