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1891927513
KATRINA A JOHNSON
BOISE, ID
NPI
1891927513
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
Additional Taxonomies
363AS0400X Physician Assistant, Surgical
Enumeration Date
2009-08-13
Last Update Date
2011-04-05
Business Address
-- KATRINA A JOHNSON PA
600 N ROBBINS ROAD SUITE 100
BOISE, ID 83702-4566
Phone number: 208-383-0201
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Mailing Address
-- KATRINA A JOHNSON PA
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-383-0201
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