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1255799136
LAURA DENISE JOHNSON
MODESTO, CA
NPI
1255799136
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: CA 832914)
Enumeration Date
2016-02-05
Last Update Date
2016-02-05
Business Address
-- LAURA DENISE JOHNSON MS, RD
1700 MCHENRY VILLAGE WAY
MODESTO, CA 95350-4308
Phone number: 209-548-7865
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Mailing Address
-- LAURA DENISE JOHNSON MS, RD
600 COFFEE RD
MODESTO, CA 95355-4201
Phone number: 209-521-6097
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