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1760735039
MATTHEW DAVID JOHNSON
SPOKANE, WA
NPI
1760735039
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: WA IR 60185957)
Enumeration Date
2012-10-23
Last Update Date
2012-10-23
Business Address
-- MATTHEW DAVID JOHNSON
412 E SPOKANE FALLS BLVD
SPOKANE, WA 99202-2131
Phone number: 509-358-7500
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Mailing Address
-- MATTHEW DAVID JOHNSON
2418 E 3RD AVE
SPOKANE, WA 99202-4011
Phone number: 509-540-5402
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