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1295157600
COREY JOHNSON
WICHITA, KS
NPI
1295157600
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
246QM0706X Spec/Tech, Pathology, Medical Technologist
(Licence: KS 25367290)
Enumeration Date
2014-01-21
Last Update Date
2014-01-21
Business Address
-- COREY JOHNSON
2716 W CENTRAL AVE
WICHITA, KS 67203-4904
Phone number: 316-660-7300
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Mailing Address
-- COREY JOHNSON
635 N MAIN ST
WICHITA, KS 67203-3602
Phone number: 316-660-7600
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