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1285315523
DESTINY SHAQUIS JOHNSON
MONROVIA, CA
NPI
1285315523
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA 106S00000X)
Enumeration Date
2023-07-28
Last Update Date
2023-07-28
Business Address
DESTINY SHAQUIS JOHNSON
612 S MYRTLE AVE STE 100
MONROVIA, CA 91016-3406
Phone number: 180-046-5320
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Mailing Address
DESTINY SHAQUIS JOHNSON
13034 LEHIGH CT
VICTORVILLE, CA 92392-7270
Phone number: 909-910-6304
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