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1184668659
MARK DALE JOHNSON
SALT LAKE CITY, UT
NPI
1184668659
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: UT 182573-1205)
Enumeration Date
2006-06-15
Last Update Date
2021-06-21
Business Address
MARK DALE JOHNSON MD
6321 S REDWOOD RD SUITE 201
SALT LAKE CITY, UT 84123-6798
Phone number: 801-265-2212
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Mailing Address
MARK DALE JOHNSON MD
PO BOX 35380
LAS VEGAS, NV 89133-5380
Phone number: 801-265-2212
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