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1285025031
RYAN NICHOLAUS JOHNSON
PARADISE, CA
NPI
1285025031
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2015-02-16
Last Update Date
2015-02-16
Business Address
RYAN NICHOLAUS JOHNSON
7200 SKYWAY
PARADISE, CA 95969-3280
Phone number: 530-877-1965
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Mailing Address
RYAN NICHOLAUS JOHNSON
7200 SKYWAY
PARADISE, CA 95969-3280
Phone number: 530-877-1965
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