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1164175071
AMANDA JOHNSON
MODESTO, CA
NPI
1164175071
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
Enumeration Date
2022-01-31
Last Update Date
2022-01-31
Business Address
AMANDA JOHNSON RD
4601 DALE RD
MODESTO, CA 95356-9718
Phone number: 209-735-5086
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Mailing Address
AMANDA JOHNSON RD
1533 MARINO CT
MANTECA, CA 95337-9623
Phone number: 209-872-7172
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