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1023353422
HERSTINE JOHNSON
COMPTON, CA
NPI
1023353422
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA RI-J0505021432)
Enumeration Date
2012-12-11
Last Update Date
2012-12-11
Business Address
-- HERSTINE JOHNSON RAS
1450 E COMPTON BLVD # 115
COMPTON, CA 90221-3403
Phone number: 310-669-8673
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Mailing Address
-- HERSTINE JOHNSON RAS
1450 E COMPTON BLVD # 115
COMPTON, CA 90221-3403
Phone number: 310-669-8673
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