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1396747804
RANDALL G JOHNSON
PUYALLUP, WA
NPI
1396747804
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT00002274)
Enumeration Date
2005-08-15
Last Update Date
2007-07-08
Business Address
Mr. RANDALL G JOHNSON PT
3912 10TH ST SE
PUYALLUP, WA 98374-2188
Phone number: 253-848-4700
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Mailing Address
Mr. RANDALL G JOHNSON PT
PO BOX 731269
PUYALLUP, WA 98373-0060
Phone number: 253-840-2313
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