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Organization
KEVIN S. JOHNSON, D.C., PC
Active
Organization
KEVIN S. JOHNSON, D.C., PC
Active
Other names
Great Basin Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN S. JOHNSON D.C. (PRESIDENT)
(541) 573-7733
Entity
Organization
Contact information
Practice address
229 N EGAN AVE, BURNS, OR 97720-1741
(541) 573-7733
(541) 573-7732
Mailing address
229 N EGAN AVE, BURNS, OR 97720-1741
(541) 573-7733
(541) 573-7732
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
2166
OR
Other
Enumeration date
12/05/2011
Last updated
12/05/2011
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