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1306920202
MAYBEN COLE JOHNSON
TWIN FALLS, ID
NPI
1306920202
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID O278)
Enumeration Date
2006-10-25
Last Update Date
2007-07-08
Business Address
Dr. MAYBEN COLE JOHNSON DO
526 SHOUP AVE W
TWIN FALLS, ID 83301
Phone number: 208-733-1112
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Mailing Address
Dr. MAYBEN COLE JOHNSON DO
526 SHOUP AVE W
TWIN FALLS, ID 83301
Phone number: 208-733-1112
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