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1265999338
BROLIN JOHNSON
SALEM, OR
NPI
1265999338
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: OR PA192760)
Enumeration Date
2019-02-26
Last Update Date
2019-06-28
Business Address
BROLIN JOHNSON PA
1793 13TH ST SE
SALEM, OR 97302-2541
Phone number: 503-362-8385
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Mailing Address
BROLIN JOHNSON PA
1793 13TH ST SE
SALEM, OR 97302-2541
Phone number: 503-362-8385
Copy
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