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1821161910
KEVIN J JOHNSON
BEMIDJI, MN
NPI
1821161910
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MN 10118)
Enumeration Date
2006-11-16
Last Update Date
2009-12-21
Business Address
-- KEVIN J JOHNSON D.D.S.
603 BEMIDJI AVE N
BEMIDJI, MN 56601-3015
Phone number: 218-751-4523
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Mailing Address
-- KEVIN J JOHNSON D.D.S.
PO BOX 338
BEMIDJI, MN 56619-0338
Phone number: 218-751-4523
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