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1629266424
VICTORIA L JOHNSON
NAMPA, ID
NPI
1629266424
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
305R00000X Preferred Provider Organization
(Licence: ID 30573)
Enumeration Date
2007-10-05
Last Update Date
2007-10-05
Business Address
VICTORIA L JOHNSON CFH
18168 SPICEBUSH AVE
NAMPA, ID 83687-5003
Phone number: 208-467-1943
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Mailing Address
VICTORIA L JOHNSON CFH
18168 SPICEBUSH AVE
NAMPA, ID 83687-5003
Phone number: 208-467-1943
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