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1245669472
OMAR JOHNSON
SACRAMENTO, CA
NPI
1245669472
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-11-07
Last Update Date
2013-11-07
Business Address
-- OMAR JOHNSON
5400 POWER INN RD
SACRAMENTO, CA 95820-6761
Phone number: 916-541-3579
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Mailing Address
-- OMAR JOHNSON
5400 POWER INN RD
SACRAMENTO, CA 95820-6761
Phone number: 916-541-3579
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