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1619913381
BLAKE G JOHNSON
TWIN FALLS, ID
NPI
1619913381
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: ID M7285)
Enumeration Date
2006-06-21
Last Update Date
2014-12-29
Business Address
-- BLAKE G JOHNSON M.D.
738 N COLLEGE RD SUITE A
TWIN FALLS, ID 83301-3385
Phone number: 208-814-7000
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Mailing Address
-- BLAKE G JOHNSON M.D.
PO BOX 587
TWIN FALLS, ID 83303-0587
Phone number: 208-814-7400
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