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1730715640
IAN JOHNSON
EGLIN AFB, FL
NPI
1730715640
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: WA OP61190273)
Enumeration Date
2020-03-23
Last Update Date
2024-07-12
Business Address
IAN JOHNSON DO
307 BOATNER RD
EGLIN AFB, FL 32542-1302
Phone number: 801-326-3567
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Mailing Address
IAN JOHNSON DO
307 BOATNER RD STE 114
EGLIN AFB, FL 32542-1302
Phone number:
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