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1093594442
KIRA NICOLE JOHNSON
WEST SACRAMENTO, CA
NPI
1093594442
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 14698)
Enumeration Date
2023-09-25
Last Update Date
2024-02-12
Business Address
KIRA NICOLE JOHNSON
3990 INDUSTRIAL BLVD
WEST SACRAMENTO, CA 95691-3430
Phone number: 916-796-0020
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Mailing Address
KIRA NICOLE JOHNSON
20271 SW BIRCH ST
NEWPORT BEACH, CA 92660-1752
Phone number:
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