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1164826400
DEANTWANN JOHNSON
UPLAND, CA
NPI
1164826400
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2014-10-15
Last Update Date
2014-10-15
Business Address
-- DEANTWANN JOHNSON
1126 W FOOTHILL BLVD SUITE 150
UPLAND, CA 91786-3768
Phone number: 909-982-8641
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Mailing Address
-- DEANTWANN JOHNSON
1170 N SAN ANTONIO AVE
POMONA, CA 91767-4104
Phone number: 909-446-9440
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