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1245851971
ALEXANDER ALIDE JOHNSON
MOSES LAKE, WA
NPI
1245851971
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WA OP61459255)
Enumeration Date
2020-05-05
Last Update Date
2023-08-10
Business Address
ALEXANDER ALIDE JOHNSON DO
8420 ASPI BLVD
MOSES LAKE, WA 98837-3601
Phone number: 509-793-9781
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Mailing Address
ALEXANDER ALIDE JOHNSON DO
660 S COOLIDGE ST
MOSES LAKE, WA 98837-1872
Phone number: 097-939-7155
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