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1679685598
KEVIN M JOHNSON
COEUR D ALENE, ID
NPI
1679685598
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: ID M7963)
Enumeration Date
2006-08-31
Last Update Date
2016-09-01
Business Address
-- KEVIN M JOHNSON MD
608 NORTHWEST BLVD SUITE 301
COEUR D ALENE, ID 83814-2174
Phone number: 208-676-8346
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Mailing Address
-- KEVIN M JOHNSON MD
608 NORTHWEST BLVD SUITE 301
COEUR D ALENE, ID 83814-2174
Phone number: 208-676-8346
Copy
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