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1346643004
CHARLES BLOMSTROM-JOHNSON
TOPEKA, KS
NPI
1346643004
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2014-10-08
Last Update Date
2014-10-08
Business Address
-- CHARLES BLOMSTROM-JOHNSON
325 SW FRAZIER AVE
TOPEKA, KS 66606-1963
Phone number: 785-232-5005
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Mailing Address
-- CHARLES BLOMSTROM-JOHNSON
325 SW FRAZIER AVE
TOPEKA, KS 66606-1963
Phone number: 785-232-5005
Copy
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