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1174790216
FRED JOHNSON JR.
LOS ANGELES, CA
NPI
1174790216
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-05-08
Last Update Date
2016-05-26
Business Address
-- FRED JOHNSON JR.
9307 S CENTRAL AVE
LOS ANGELES, CA 90002-2017
Phone number: 323-242-5000
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Mailing Address
-- FRED JOHNSON JR.
9307 S CENTRAL AVE
LOS ANGELES, CA 90002-2017
Phone number: 323-242-5000
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