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1588721930
GARY L JOHNSON
POCATELLO, ID
NPI
1588721930
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: ID CHIA -958)
Enumeration Date
2007-01-03
Last Update Date
2024-03-12
Business Address
Dr. GARY L JOHNSON DC
2745 POLE LINE ROAD
POCATELLO, ID 83201-6111
Phone number: 208-234-2225
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Mailing Address
Dr. GARY L JOHNSON DC
2745 POLE LINE ROAD
POCATELLO, ID 83201-6111
Phone number: 208-234-2225
Copy
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