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1770115412
ALLISON ELAINE JOHNSON
FORT CARSON, CO
NPI
1770115412
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Former Name
ALLISON ELAINE MEFFORD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
126800000X Dental Assistant
Enumeration Date
2020-02-11
Last Update Date
2020-02-11
Business Address
ALLISON ELAINE JOHNSON
1631 WETZEL AVE
FORT CARSON, CO 80913-4095
Phone number: 719-526-5537
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Mailing Address
ALLISON ELAINE JOHNSON
1631 WETZEL AVE
FORT CARSON, CO 80913-4095
Phone number: 719-526-5537
Copy
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