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1508015199
MAXINE JOHNSON
GALLUP, NM
NPI
1508015199
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
Enumeration Date
2008-09-18
Last Update Date
2008-09-18
Business Address
Ms. MAXINE JOHNSON DA
516 NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
Ms. MAXINE JOHNSON DA
PO BOX 1337
GALLUP, NM 87305-1337
Phone number: 505-722-1000
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