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1316599657
JOHANNA MEDINA
LANCASTER, CA
NPI
1316599657
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA 837431)
Enumeration Date
2019-07-16
Last Update Date
2019-07-16
Business Address
JOHANNA MEDINA
43825 46TH ST W
LANCASTER, CA 93536-2365
Phone number: 406-696-6766
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Mailing Address
JOHANNA MEDINA
43825 46TH ST W
LANCASTER, CA 93536-2365
Phone number: 406-696-6766
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