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1316312747
MYRIA JOHNSON
IDAHO FALLS, ID
NPI
1316312747
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2015-12-10
Last Update Date
2015-12-10
Business Address
-- MYRIA JOHNSON
1740 E 17TH ST
IDAHO FALLS, ID 83404-6375
Phone number: 208-346-7500
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Mailing Address
-- MYRIA JOHNSON
1740 E 17TH ST
IDAHO FALLS, ID 83404-6375
Phone number:
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