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1568072858
COLTEN LEWIS JOHNSON
HOMER, AK
NPI
1568072858
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-08-03
Last Update Date
2020-08-03
Business Address
COLTEN LEWIS JOHNSON
51310 TIMBER BAY COURT
HOMER, AK 99603
Phone number: 907-373-4732
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Mailing Address
COLTEN LEWIS JOHNSON
PO BOX 3255
HOMER, AK 99603-3255
Phone number: 907-460-4992
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