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1255949566
CHARLES JOHNSON
FREMONT, CA
NPI
1255949566
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-07-22
Last Update Date
2020-07-22
Business Address
CHARLES JOHNSON
3300 CAPITOL AVE BLDG B
FREMONT, CA 94538-1514
Phone number: 510-574-2077
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Mailing Address
CHARLES JOHNSON
3300 CAPITOL AVE BLDG B
FREMONT, CA 94538-1514
Phone number: 510-574-2077
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