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1669931705
MICHAEL JOHNSON
MOSES LAKE, WA
NPI
1669931705
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA61018488)
Enumeration Date
2019-03-18
Last Update Date
2020-04-02
Business Address
MICHAEL JOHNSON PA
840 E HILL AVE
MOSES LAKE, WA 98837-2238
Phone number: 509-663-8711
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Mailing Address
MICHAEL JOHNSON PA
820 N CHELAN AVE
WENATCHEE, WA 98801-2028
Phone number: 509-663-8711
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