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1023146107
ANDREA FAY JOHNSON
PASADENA, CA
NPI
1023146107
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA VN202689)
Enumeration Date
2007-03-01
Last Update Date
2007-07-08
Business Address
-- ANDREA FAY JOHNSON
940 AVENUE 64
PASADENA, CA 91105-2711
Phone number: 323-254-2274
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Mailing Address
-- ANDREA FAY JOHNSON
940 AVENUE 64
PASADENA, CA 91105-2711
Phone number: 323-254-2274
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