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1508969973
GREG W JOHNSON
BOISE, ID
NPI
1508969973
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID M8930)
Enumeration Date
2006-09-07
Last Update Date
2014-01-23
Business Address
-- GREG W JOHNSON MD
130 E BOISE AVE
BOISE, ID 83706
Phone number: 208-345-4066
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Mailing Address
-- GREG W JOHNSON MD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-345-4066
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