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1942364575
KEVIN BROOKS JOHNSON
CANBY, OR
NPI
1942364575
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: OR D9406)
Additional Taxonomies
122300000X Dentist
(Licence: WA DE00010704)
Enumeration Date
2006-12-20
Last Update Date
2012-04-11
Business Address
Dr. KEVIN BROOKS JOHNSON D.M.D.
333 NW 3RD AVE
CANBY, OR 97013-3602
Phone number: 503-266-2705
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Mailing Address
Dr. KEVIN BROOKS JOHNSON D.M.D.
333 NW 3RD AVE
CANBY, OR 97013-3602
Phone number: 503-266-2705
Copy
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