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1134417934
MICHAEL KEITH JOHNSON
SALT LAKE CITY, UT
NPI
1134417934
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: UT 7343155-3503)
Enumeration Date
2011-07-13
Last Update Date
2011-08-03
Business Address
Mr. MICHAEL KEITH JOHNSON S.S.W.
177 PRICE AVE
SALT LAKE CITY, UT 84115-4345
Phone number: 385-468-4528
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Mailing Address
Mr. MICHAEL KEITH JOHNSON S.S.W.
177 PRICE AVE
SALT LAKE CITY, UT 84115-4345
Phone number: 385-468-4528
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