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1124579545
RUDOLPH JOHNSON
SAN DIEGO, CA
NPI
1124579545
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
Enumeration Date
2016-10-20
Last Update Date
2016-10-20
Business Address
Mr. RUDOLPH JOHNSON CATC1
6537 REFLECTION DR APT 105
SAN DIEGO, CA 92124-3111
Phone number: 619-727-7797
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Mailing Address
Mr. RUDOLPH JOHNSON CATC1
6537 REFLECTION DR APT 105
SAN DIEGO, CA 92124-3111
Phone number: 619-727-7797
Copy
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