KENNETH DEWAYNE JOHNSON

SIOUX FALLS, SD
NPI1447286216
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: SD  0003)
Enumeration Date2006-06-24
Last Update Date2007-07-08
Business Address
-- KENNETH DEWAYNE JOHNSON R.D., L.N.
2501 W 22ND ST
SIOUX FALLS, SD 57105-1305
Phone number: 605-336-3230
Mailing Address
-- KENNETH DEWAYNE JOHNSON R.D., L.N.
812 S LAKE AVE
SIOUX FALLS, SD 57104-4645
Phone number: 605-338-2009
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