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1154198893
JOHNETTA FORD
SAN BERNARDINO, CA
NPI
1154198893
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2023-12-04
Last Update Date
2023-12-04
Business Address
JOHNETTA FORD
104 W 4TH ST
SAN BERNARDINO, CA 92415-0035
Phone number: 909-382-7879
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Mailing Address
JOHNETTA FORD
104 W 4TH ST
SAN BERNARDINO, CA 92415-0035
Phone number: 909-382-7879
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