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1306904214
MICHAEL JACK JOHNSON
LOS GATOS, CA
NPI
1306904214
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2006-12-04
Last Update Date
2007-07-08
Business Address
Mr. MICHAEL JACK JOHNSON
499 LOMA ALTA AVE
LOS GATOS, CA 95030-6227
Phone number: 408-335-1906
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Mailing Address
Mr. MICHAEL JACK JOHNSON
280 LIVONIA PL
SAN JOSE, CA 95111-4606
Phone number: 310-748-7987
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