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1629122973
MERTON OLAI JOHNSON
GRANTS, NM
NPI
1629122973
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MT RN010257)
Enumeration Date
2007-01-23
Last Update Date
2010-02-11
Business Address
Mr. MERTON OLAI JOHNSON CRNA
1016 E ROOSEVELT AVE
GRANTS, NM 87020-2118
Phone number: 406-488-2295
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Mailing Address
Mr. MERTON OLAI JOHNSON CRNA
1016 E ROOSEVELT
GRANTS, NM 87020
Phone number: 406-488-2295
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