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1316695109
LARCELL THOMAS JOHNSON
SACRAMENTO, CA
NPI
1316695109
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 51625)
Enumeration Date
2022-03-11
Last Update Date
2022-03-11
Business Address
LARCELL THOMAS JOHNSON PTA
8031 FRUITRIDGE RD STE A
SACRAMENTO, CA 95820-6758
Phone number: 916-669-9038
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Mailing Address
LARCELL THOMAS JOHNSON PTA
8031 FRUITRIDGE RD STE A
SACRAMENTO, CA 95820-6758
Phone number: 916-669-9038
Copy
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