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1083379903
SCOTT DAVID JOHNSON
BLOOMINGTON, CA
NPI
1083379903
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1419230221)
Enumeration Date
2021-11-04
Last Update Date
2023-07-20
Business Address
SCOTT DAVID JOHNSON
18612 SANTA ANA AVE
BLOOMINGTON, CA 92316-2639
Phone number: 909-421-7120
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Mailing Address
SCOTT DAVID JOHNSON
3050 DUNDEE AVE
HIGHLAND, CA 92346-1803
Phone number: 909-838-9616
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