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1053974360
NICOLE JOHNSON
SAN DIEGO, CA
NPI
1053974360
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA56903)
Enumeration Date
2019-04-22
Last Update Date
2022-06-07
Business Address
NICOLE JOHNSON PA-C, MPH
15004 INNOVATION DR
SAN DIEGO, CA 92128-3491
Phone number: 858-605-7180
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Mailing Address
NICOLE JOHNSON PA-C, MPH
10790 RANCHO BERNARDO RD
SAN DIEGO, CA 92127-5705
Phone number: 858-605-7180
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