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1023387131
DERON PAUL JOHNSON
LOS ANGELES, CA
NPI
1023387131
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: CA 61401)
Enumeration Date
2011-12-19
Last Update Date
2011-12-19
Business Address
Dr. DERON PAUL JOHNSON
4616 DE LONGPRE AVE
LOS ANGELES, CA 90027-6076
Phone number: 323-361-4182
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Mailing Address
Dr. DERON PAUL JOHNSON
4616 DE LONGPRE AVE
LOS ANGELES, CA 90027-6076
Phone number: 323-361-4182
Copy
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