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1164129169
SHAWNTATE JOHNSON
BERKELEY, CA
NPI
1164129169
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2023-02-09
Last Update Date
2024-04-18
Business Address
SHAWNTATE JOHNSON
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704-3238
Phone number: 510-981-5290
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Mailing Address
SHAWNTATE JOHNSON
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704-3238
Phone number: 510-981-5290
Copy
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