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1548720816
KYLE PATRICK JOHNSON
SANTA ROSA, CA
NPI
1548720816
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Professional Name
KYLE PATRICK JOHNSON
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 57855)
Enumeration Date
2019-03-22
Last Update Date
2023-10-31
Business Address
MR. KYLE PATRICK JOHNSON PA
30 MARK WEST SPRINGS RD
SANTA ROSA, CA 95403-1436
Phone number: 707-576-4040
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Mailing Address
MR. KYLE PATRICK JOHNSON PA
2351 CLAY ST STE 501
SAN FRANCISCO, CA 94115-1931
Phone number: 866-898-7148
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