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1710071493
STAFFAN C JOHNSSON
PROVO, UT
NPI
1710071493
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: UT 78-163256-1205)
Enumeration Date
2006-10-03
Last Update Date
2007-07-08
Business Address
-- STAFFAN C JOHNSSON MD
1034 N 500 W
PROVO, UT 84604
Phone number: 801-993-9582
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Mailing Address
-- STAFFAN C JOHNSSON MD
2975 W EXECUTIVE PKWY 200
LEHI, UT 84043
Phone number: 801-990-1911
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