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1134500275
SHADE JOHNSON
LOS ANGELES, CA
NPI
1134500275
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-06-15
Last Update Date
2015-06-15
Business Address
-- SHADE JOHNSON
5715 S BROADWAY
LOS ANGELES, CA 90037-4131
Phone number: 323-948-0444
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Mailing Address
-- SHADE JOHNSON
5715 S BROADWAY
LOS ANGELES, CA 90037-4131
Phone number: 323-948-0444
Copy
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