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1114000130
JEDIDIAH E. JOHNSON
HOMER, AK
NPI
1114000130
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Additional Taxonomies
247200000X
Enumeration Date
2006-10-23
Last Update Date
2013-10-08
Business Address
-- JEDIDIAH E. JOHNSON HS1, IDC
4688 HOMER SPIT RD
HOMER, AK 99603-8001
Phone number: 360-567-8238
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Mailing Address
-- JEDIDIAH E. JOHNSON HS1, IDC
4688 HOMER SPIT RD USCGC HICKORY
HOMER, AK 99603
Phone number: 360-567-8238
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