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1154813558
PORSCHE T JOHNSON
GLENDALE, AZ
NPI
1154813558
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: AZ LAC-16824)
Enumeration Date
2018-05-31
Last Update Date
2018-05-31
Business Address
PORSCHE T JOHNSON
17505 N 79TH AVE STE 410
GLENDALE, AZ 85308-8732
Phone number: 623-800-7980
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Mailing Address
PORSCHE T JOHNSON
2649 N 73RD DR
PHOENIX, AZ 85035-3253
Phone number: 602-314-0120
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