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1164141107
SAMANTHA WYNN JOHNSON
TWIN FALLS, ID
NPI
1164141107
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: ID 60408)
Enumeration Date
2022-08-23
Last Update Date
2022-08-23
Business Address
SAMANTHA WYNN JOHNSON NP
1534 ADDISON AVE E
TWIN FALLS, ID 83301-5355
Phone number: 831-801-5141
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Mailing Address
SAMANTHA WYNN JOHNSON NP
1534 ADDISON AVE E
TWIN FALLS, ID 83301-5355
Phone number:
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