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1023360633
KRAIG LEE JOHNSON
INDIO, CA
NPI
1023360633
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-10-05
Last Update Date
2012-10-05
Business Address
Mr. KRAIG LEE JOHNSON
81840 AVENUE 46 STE 201
INDIO, CA 92201-3948
Phone number: 760-391-6999
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Mailing Address
Mr. KRAIG LEE JOHNSON
81840 AVENUE 46 STE 201
INDIO, CA 92201-3948
Phone number: 760-391-6999
Copy
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