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1134300213
GRACE ELIZABETH JOHNSON
PASADENA, CA
NPI
1134300213
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: IL 894433)
Enumeration Date
2007-11-17
Last Update Date
2007-11-17
Business Address
MRS. GRACE ELIZABETH JOHNSON R.D.
960 E GREEN ST SUITE 292
PASADENA, CA 91106-2401
Phone number: 626-449-4494
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Mailing Address
MRS. GRACE ELIZABETH JOHNSON R.D.
2261 EASTRIDGE TRL
OXNARD, CA 93036-7720
Phone number: 805-981-8110
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