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1033426457
JOHAN WALL
VISALIA, CA
NPI
1033426457
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFT48458)
Enumeration Date
2010-09-07
Last Update Date
2014-01-09
Business Address
JOHAN WALL LMFT
520 E TULARE AVE
VISALIA, CA 93292-3629
Phone number: 559-623-0908
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Mailing Address
JOHAN WALL LMFT
520 E TULARE AVE
VISALIA, CA 93292-3629
Phone number: 559-623-0908
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