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1164932075
ANJANIQUE KYNDRA JOHNSON
ROSEVILLE, CA
NPI
1164932075
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-10-05
Last Update Date
2018-01-17
Business Address
ANJANIQUE KYNDRA JOHNSON BA
1133 COLOMA WAY
ROSEVILLE, CA 95661-4412
Phone number: 916-774-6647
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Mailing Address
ANJANIQUE KYNDRA JOHNSON BA
4301 PIRAIEUS CT
ELK GROVE, CA 95758-6090
Phone number:
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