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1114412459
COURTNEY LOIS JOHNSON
RENTON, WA
NPI
1114412459
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Former Name
COURTNEY LOIS SIMCOE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA60879450)
Enumeration Date
2018-06-28
Last Update Date
2023-07-25
Business Address
COURTNEY LOIS JOHNSON PA-C
4011 TALBOT RD S STE 500
RENTON, WA 98055-5782
Phone number: 425-690-3482
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Mailing Address
COURTNEY LOIS JOHNSON PA-C
3600 LIND AVE SW STE 100
RENTON, WA 98057-4970
Phone number: 425-690-2715
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