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1932682796
KEVIN HERBERT JOHNSON
SALT LAKE CITY, UT
NPI
1932682796
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
(Licence: UT 809)
Enumeration Date
2018-09-07
Last Update Date
2018-09-07
Business Address
KEVIN HERBERT JOHNSON cpsss
344 E 100 S
SALT LAKE CITY, UT 84111-1700
Phone number: 801-322-3222
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Mailing Address
KEVIN HERBERT JOHNSON cpsss
344 E 100 S
SALT LAKE CITY, UT 84111-1700
Phone number: 801-322-3222
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