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BONNIE JEAN JOHNSON

>> Technician, Other >> Technologists, Technicians & Other Technical Service Providers

Registrant NPI Number: 1902173628

Individual Registrant:
 BONNIE JEAN JOHNSON 
Gender: F
Sole Proprietor

Location and contact information for practice:
246 KWIGUK ST.  EMMONAK, AK 99581-0246 US
Tel: 907-949-3536  Fax: 904-949-3540

Contact information for business:
246 KWIGUK STREET  EMMONAK, AK 99581-0246 US
Tel: 907-949-3536  Fax: 907-949-3540

Registration Information:
NPI: 1902173628
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y247200000XTechnologists, Technicians & Other Technical Service Providers
Technician, Other
AK11-073-DHAT

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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