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1124861620
CORNELL JOHNSON
FAIRFIELD, CA
NPI
1124861620
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-06-13
Last Update Date
2024-06-13
Business Address
CORNELL JOHNSON
3700 HILBORN RD STE 950
FAIRFIELD, CA 94534-7999
Phone number: 707-639-1138
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Mailing Address
CORNELL JOHNSON
3700 HILBORN RD STE 950
FAIRFIELD, CA 94534-7999
Phone number: 707-639-1138
Copy
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