STEPHEN OTTO JOHNSON

HILO, HI
NPI1982360590
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2021-11-09
Last Update Date2021-11-09
Business Address
STEPHEN OTTO JOHNSON
1786 KINOOLE ST
HILO, HI 96720-5245
Phone number: 808-959-5855
Mailing Address
STEPHEN OTTO JOHNSON
1303 KINOOLE ST
HILO, HI 96720-4129
Phone number: 501-680-8545
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