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1861076382
LAURA JOHNSTAD
SILVER SPRING, MD
NPI
1861076382
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171000000X Military Health Care Provider
Enumeration Date
2021-05-11
Last Update Date
2024-07-26
Business Address
LAURA JOHNSTAD
3303 MOLINE RD
SILVER SPRING, MD 20902-2230
Phone number: 702-283-6061
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Mailing Address
LAURA JOHNSTAD
57950 LEAVENWORTH ST
MCCONNELL AFB, KS 67221-3505
Phone number: 702-283-6061
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