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1104964188
BRIAN R JOHNSON
BELLEVUE, WA
NPI
1104964188
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: WA LL00003248)
Enumeration Date
2007-02-02
Last Update Date
2015-10-27
Business Address
BRIAN R JOHNSON S.P.
626 120TH AVE NE SUITE B201
BELLEVUE, WA 98005-3077
Phone number: 425-556-6330
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Mailing Address
BRIAN R JOHNSON S.P.
11511 NE 10TH ST BELLEVUE MEDICAL CENTER
BELLEVUE, WA 98004-8578
Phone number: 425-502-3898
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