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1336138783
BRIAN LEE JOHNSON
JEROME, ID
NPI
1336138783
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID M-9334)
Enumeration Date
2005-10-18
Last Update Date
2013-12-20
Business Address
-- BRIAN LEE JOHNSON M.D.
709 N LINCOLN AVE
JEROME, ID 83338-1851
Phone number: 208-324-4301
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Mailing Address
-- BRIAN LEE JOHNSON M.D.
PO BOX 587
TWIN FALLS, ID 83303-0587
Phone number: 208-814-7400
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