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1134654759
KIMBERLY JOHNSON
BOZEMAN, MT
NPI
1134654759
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: MT MED-NUTR-LIC-52164)
Enumeration Date
2017-04-21
Last Update Date
2017-04-21
Business Address
KIMBERLY JOHNSON RD
110 E COLLEGE ST
BOZEMAN, MT 59715-5318
Phone number: 229-560-8807
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Mailing Address
KIMBERLY JOHNSON RD
PO BOX 73
BOZEMAN, MT 59771
Phone number: 229-560-8807
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