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1265670103
TONY L. JOHNSON
PETALUMA, CA
NPI
1265670103
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC16373)
Enumeration Date
2009-01-30
Last Update Date
2009-01-30
Business Address
Mr. TONY L. JOHNSON MFT
720 SOUTHPOINT BLVD SUITE 202
PETALUMA, CA 94954-7495
Phone number: 707-763-4915
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Mailing Address
Mr. TONY L. JOHNSON MFT
720 SOUTHPOINT BLVD SUITE 202
PETALUMA, CA 94954-7495
Phone number: 707-763-4915
Copy
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