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1972740058
CAROL RENEE JOHNSON
SPOKANE VALLEY, WA
NPI
1972740058
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: WA MA00011653)
Enumeration Date
2009-01-12
Last Update Date
2009-01-12
Business Address
Mrs. CAROL RENEE JOHNSON LMT
321 N PINES RD SUITE C
SPOKANE VALLEY, WA 99206-5176
Phone number: 509-879-6025
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Mailing Address
Mrs. CAROL RENEE JOHNSON LMT
321 N PINES RD SUITE C
SPOKANE VALLEY, WA 99206-5176
Phone number: 509-879-6025
Copy
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