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1669137329
JUSTIN TYLER JOHNSON
SAINT HELENS, OR
NPI
1669137329
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-11-07
Last Update Date
2021-11-07
Business Address
JUSTIN TYLER JOHNSON
58646 MCNULTY WAY
SAINT HELENS, OR 97051-6210
Phone number: 503-397-5211
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Mailing Address
JUSTIN TYLER JOHNSON
PO BOX 1234
SAINT HELENS, OR 97051-8234
Phone number:
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