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1437749082
BRYCE C JOHNSON
IDAHO FALLS, ID
NPI
1437749082
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2021-01-19
Last Update Date
2021-01-19
Business Address
BRYCE C JOHNSON
1248 E 17TH ST
IDAHO FALLS, ID 83404-6147
Phone number: 208-542-1026
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Mailing Address
BRYCE C JOHNSON
3900 E IONA RD
IDAHO FALLS, ID 83401-5000
Phone number: 208-520-2713
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