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1083085369
GARY JOHNSON
LANCASTER, CA
NPI
1083085369
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
310400000X Assisted Living Facility
(Licence: CA 197605271)
Enumeration Date
2015-10-13
Last Update Date
2015-10-13
Business Address
Mr. GARY JOHNSON
1539 W AVENUE L12
LANCASTER, CA 93534-6930
Phone number: 661-948-1275
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Mailing Address
Mr. GARY JOHNSON
1539 W AVENUE L12
LANCASTER, CA 93534-6930
Phone number: 661-948-1275
Copy
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