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1023778230
LOGAN JOHNSON
RANCHO CUCAMONGA, CA
NPI
1023778230
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-12-29
Last Update Date
2021-12-29
Business Address
LOGAN JOHNSON
9600 CENTER AVE
RANCHO CUCAMONGA, CA 91730-5838
Phone number: 858-264-5858
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Mailing Address
LOGAN JOHNSON
PO BOX 8544
PASADENA, CA 91109-8602
Phone number:
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