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1699204065
DUSTIN WAYNE JOHNSON
KLAMATH FALLS, OR
NPI
1699204065
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2017-06-08
Last Update Date
2024-10-08
Business Address
Mr. DUSTIN WAYNE JOHNSON
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601-6418
Phone number: 541-883-1030
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Mailing Address
Mr. DUSTIN WAYNE JOHNSON
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601-6418
Phone number: 541-883-1030
Copy
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