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1619687191
KEATON JAMES JOHNSTON
BEAVERTON, OR
NPI
1619687191
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-11-25
Last Update Date
2022-11-25
Business Address
KEATON JAMES JOHNSTON
8864 SW MARSEILLES DR
BEAVERTON, OR 97007-9039
Phone number: 208-380-2566
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Mailing Address
KEATON JAMES JOHNSTON
8864 SW MARSEILLES DR
BEAVERTON, OR 97007-9039
Phone number: 208-380-2566
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