BLAKE JOHNSON

SALT LAKE CITY, UT
NPI1851036214
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-04-30
Last Update Date2022-04-30
Business Address
BLAKE JOHNSON
475 N REDWOOD RD UNIT 16
SALT LAKE CITY, UT 84116-3565
Phone number: 801-584-9449
Mailing Address
BLAKE JOHNSON
475 N REDWOOD RD UNIT 16
SALT LAKE CITY, UT 84116-3565
Phone number: 801-584-9449
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