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1114696002
DOMINIQUE JOHNSON
LONG BEACH, CA
NPI
1114696002
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-09-13
Last Update Date
2021-09-13
Business Address
Ms. DOMINIQUE JOHNSON
1955 LONG BEACH BLVD # 200
LONG BEACH, CA 90806-5501
Phone number: 562-313-6260
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Mailing Address
Ms. DOMINIQUE JOHNSON
1955 LONG BEACH BLVD # 200
LONG BEACH, CA 90806-5501
Phone number: 562-313-6260
Copy
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