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1154414084
MARC ERNEST JOHNSON
CENTRALIA, WA
NPI
1154414084
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: WA DE00009235)
Enumeration Date
2006-10-02
Last Update Date
2007-07-08
Business Address
Dr. MARC ERNEST JOHNSON DDS
1407 KRESKY AVE
CENTRALIA, WA 98531-8912
Phone number: 360-736-9397
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Mailing Address
Dr. MARC ERNEST JOHNSON DDS
1407 KRESKY AVE
CENTRALIA, WA 98531-8912
Phone number: 360-736-9397
Copy
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