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1245746403
TANNER J JOHNSON
SPOKANE, WA
NPI
1245746403
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225800000X Recreation Therapist
(Licence: WA CG60786158)
Enumeration Date
2017-12-22
Last Update Date
2017-12-22
Business Address
TANNER J JOHNSON
3754 W INDIAN TRAIL RD
SPOKANE, WA 99208-4736
Phone number: 509-328-7041
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Mailing Address
TANNER J JOHNSON
3754 W INDIAN TRAIL RD
SPOKANE, WA 99208-4736
Phone number:
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