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1316720113
CANDIEDA LEE-DENISE JOHNSON
CLEARLAKE, CA
NPI
1316720113
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-08-15
Last Update Date
2023-08-15
Business Address
CANDIEDA LEE-DENISE JOHNSON
6945 OLD HIGHWAY 53
CLEARLAKE, CA 95422-9381
Phone number: 707-995-9523
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Mailing Address
CANDIEDA LEE-DENISE JOHNSON
6945 OLD HIGHWAY 53
CLEARLAKE, CA 95422-9381
Phone number: 707-995-9523
Copy
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