KENT LAWRENCE JOHNSON

COOS BAY, OR
NPI1275677569
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: OR  9766)
Enumeration Date2007-02-19
Last Update Date2007-07-08
Business Address
-- KENT LAWRENCE JOHNSON
1775 THOMPSON RD
COOS BAY, OR 97420-2125
Phone number: 541-269-8160
Mailing Address
-- KENT LAWRENCE JOHNSON
965 S 4TH ST
COOS BAY, OR 97420-1409
Phone number: 541-266-9774
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