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1992570287
DUSTIN JOHNSON
FAIRBANKS, AK
NPI
1992570287
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2023-11-16
Last Update Date
2023-11-16
Business Address
DUSTIN JOHNSON
1825 MARIKA RD
FAIRBANKS, AK 99709-5521
Phone number: 907-474-0898
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Mailing Address
DUSTIN JOHNSON
809 ORCA CT
FAIRBANKS, AK 99701-1408
Phone number: 405-982-2786
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