BENJAMIN HENNING JOHNSON

MOSCOW, ID
NPI1366934440
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2018-06-04
Last Update Date2018-06-04
Business Address
BENJAMIN HENNING JOHNSON
875 PERIMETER DR # MS 2401
MOSCOW, ID 83844-9803
Phone number: 801-710-0760
Mailing Address
BENJAMIN HENNING JOHNSON
5345 S 4550 W
HOOPER, UT 84315-6710
Phone number:
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