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1578090320
ALAN D JOHNSON
FORT COLLINS, CO
NPI
1578090320
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171W00000X Contractor
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2017-05-11
Last Update Date
2024-10-23
Business Address
ALAN D JOHNSON
172 HILLCREST DR
FORT COLLINS, CO 80521-5111
Phone number: 970-792-7850
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Mailing Address
ALAN D JOHNSON
172 HILLCREST DR
FORT COLLINS, CO 80521-5111
Phone number: 970-792-7850
Copy
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