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1942893409
STORMIE JOHANSON
EAGLE, ID
NPI
1942893409
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: ID CHIA-1972)
Enumeration Date
2021-02-16
Last Update Date
2021-02-16
Business Address
Dr. STORMIE JOHANSON DC
1155 E WINDING CREEK DR
EAGLE, ID 83616-7232
Phone number: 515-320-4103
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Mailing Address
Dr. STORMIE JOHANSON DC
1465 W DEER CREST DR APT P105
MERIDIAN, ID 83646-4621
Phone number: 515-320-4103
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