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1134883119
JACK OTTO JOHNSON
SANTA BARBARA, CA
NPI
1134883119
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2021-10-26
Last Update Date
2023-07-17
Business Address
JACK OTTO JOHNSON
617 GARDEN ST
SANTA BARBARA, CA 93101-1664
Phone number: 805-845-3246
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Mailing Address
JACK OTTO JOHNSON
617 GARDEN ST
SANTA BARBARA, CA 93101-1664
Phone number: 805-845-3246
Copy
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