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1003599986
SAMANTHA N JOHANSEN
SAN DIEGO, CA
NPI
1003599986
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
Enumeration Date
2023-08-08
Last Update Date
2023-08-11
Business Address
SAMANTHA N JOHANSEN RD
2741 A ST APT H
SAN DIEGO, CA 92102-7023
Phone number: 619-607-5536
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Mailing Address
SAMANTHA N JOHANSEN RD
2741 A ST APT H
SAN DIEGO, CA 92102-7023
Phone number: 619-607-5536
Copy
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