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1124257886
QUENTIN WANDYKE JOHNSON
KEIZER, OR
NPI
1124257886
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR MD179613)
Enumeration Date
2009-07-02
Last Update Date
2017-02-24
Business Address
-- QUENTIN WANDYKE JOHNSON MD
5100 RIVER RD N
KEIZER, OR 97303-5371
Phone number: 503-393-2533
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Mailing Address
-- QUENTIN WANDYKE JOHNSON MD
5100 RIVER RD N
KEIZER, OR 97303-5371
Phone number: 503-393-2533
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