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1912063652
CARL AUSTIN JOHNSON
BLACKFOOT, ID
NPI
1912063652
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT944)
Enumeration Date
2006-12-28
Last Update Date
2007-07-08
Business Address
Mr. CARL AUSTIN JOHNSON MPT
285 W FRANCIS BLACKFOOT PHYSICAL THERAPY
BLACKFOOT, ID 83221
Phone number: 208-785-0123
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Mailing Address
Mr. CARL AUSTIN JOHNSON MPT
5112 LINDEE LANE
IDAHO FALLS, ID 83406
Phone number: 208-523-4815
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