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1942799002
KEVIN WENDELL JOHNSON
BRIDGEPORT, NE
NPI
1942799002
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NE 33399)
Enumeration Date
2018-05-04
Last Update Date
2021-12-20
Business Address
KEVIN WENDELL JOHNSON MD
1313 S ST
BRIDGEPORT, NE 69336-2563
Phone number: 308-262-1616
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Mailing Address
KEVIN WENDELL JOHNSON MD
2698 PATTERSON RD STE 100
GRAND JUNCTION, CO 81506-8211
Phone number:
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