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1033483946
KENNETH WAYNE JOHNSON
CONCORD, CA
NPI
1033483946
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-02-24
Last Update Date
2012-02-24
Business Address
Mr. KENNETH WAYNE JOHNSON
2600 STANWELL DR STE 220
CONCORD, CA 94520-4828
Phone number: 925-363-5000
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Mailing Address
Mr. KENNETH WAYNE JOHNSON
2600 STANWELL DR STE 220
CONCORD, CA 94520-4828
Phone number: 925-363-5000
Copy
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