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1164015913
SHAVONDA JOHNSON
LOS ANGELES, CA
NPI
1164015913
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-02-12
Last Update Date
2021-02-12
Business Address
SHAVONDA JOHNSON
1564 W 36TH PL
LOS ANGELES, CA 90018-4503
Phone number: 323-766-9415
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Mailing Address
SHAVONDA JOHNSON
1564 W 36TH PL
LOS ANGELES, CA 90018-4503
Phone number: 323-766-9415
Copy
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