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1114514007
JADE JOHNSON
SACRAMENTO, CA
NPI
1114514007
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
156F00000X Technician/Technologist
Enumeration Date
2020-12-24
Last Update Date
2020-12-24
Business Address
JADE JOHNSON
2035 HURLEY WAY STE 290
SACRAMENTO, CA 95825-3221
Phone number: 916-713-3623
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Mailing Address
JADE JOHNSON
2035 HURLEY WAY STE 290
SACRAMENTO, CA 95825-3221
Phone number: 916-713-3623
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