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1235222100
RICHARD IVAN JOHNSON
SEATTLE, WA
NPI
1235222100
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WA 0006129)
Enumeration Date
2006-10-02
Last Update Date
2007-07-08
Business Address
Dr. RICHARD IVAN JOHNSON
509 OLIVE WAY 1320
SEATTLE, WA 98101-1720
Phone number: 206-622-4066
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Mailing Address
Dr. RICHARD IVAN JOHNSON
509 OLIVE WAY 1320
SEATTLE, WA 98101-1720
Phone number: 206-622-4066
Copy
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