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1285863043
WAYNE DENNIS JOHNSON
FAIRCHILD AFB, WA
NPI
1285863043
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date
2009-07-14
Last Update Date
2009-07-14
Business Address
-- WAYNE DENNIS JOHNSON IDMT
2504 S CHICAGO ST
FAIRCHILD AFB, WA 99011-8548
Phone number: 509-247-5414
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Mailing Address
-- WAYNE DENNIS JOHNSON IDMT
2504 S CHICAGO ST
FAIRCHILD AFB, WA 99011-8548
Phone number: 509-247-5414
Copy
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