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1639180698
COREY B JOHNSON
LOGAN, UT
NPI
1639180698
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: UT 1848241205)
Enumeration Date
2006-08-11
Last Update Date
2007-07-08
Business Address
Dr. COREY B JOHNSON MD
1219 N 400 E
LOGAN, UT 84341-2321
Phone number: 435-753-2842
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Mailing Address
Dr. COREY B JOHNSON MD
139 S 200 W
HYRUM, UT 84319-1241
Phone number: 435-245-3348
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