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1659889368
BLAKE JOHNSON
KEARNEY, NE
NPI
1659889368
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2018-01-16
Last Update Date
2018-01-16
Business Address
BLAKE JOHNSON PA-C
804 22ND AVE
KEARNEY, NE 68845-2206
Phone number: 308-455-3600
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Mailing Address
BLAKE JOHNSON PA-C
804 22ND AVE
KEARNEY, NE 68845-2206
Phone number:
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