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1720066707
MARK R JOHANSEN
ENGLEWOOD, CO
NPI
1720066707
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine
(Licence: CO 37808)
Enumeration Date
2006-01-09
Last Update Date
2007-07-08
Business Address
Dr. MARK R JOHANSEN MD
3425 S CLARKSON ST
ENGLEWOOD, CO 80113-2811
Phone number: 303-789-8220
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Mailing Address
Dr. MARK R JOHANSEN MD
3425 S CLARKSON ST
ENGLEWOOD, CO 80113-2811
Phone number: 303-789-8220
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