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1801381553
MICHAEL JOHNSON
PROVO, UT
NPI
1801381553
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 7033248-4405)
Enumeration Date
2018-06-26
Last Update Date
2021-05-05
Business Address
MICHAEL JOHNSON APRN
1300 E CENTER ST
PROVO, UT 84606-3554
Phone number: 801-344-4400
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Mailing Address
MICHAEL JOHNSON APRN
PO BOX 270
PROVO, UT 84603-0270
Phone number: 801-344-4400
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