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1417529272
KELLY LYNN JOHNSON
SPRINGFIELD, OR
NPI
1417529272
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Other Name
KELLEY LYNN JOHNSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183700000X Pharmacy Technician
(Licence: OR CPT-002894)
Enumeration Date
2021-07-12
Last Update Date
2021-07-12
Business Address
KELLY LYNN JOHNSON cpt
2130 MARCOLA RD
SPRINGFIELD, OR 97477-2592
Phone number: 541-747-3362
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Mailing Address
KELLY LYNN JOHNSON cpt
4930 DAISY ST
SPRINGFIELD, OR 97478-6797
Phone number: 541-912-2563
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