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1356128995
ELIJAH JOHNSON
MONROVIA, CA
NPI
1356128995
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-09-08
Last Update Date
2023-09-08
Business Address
ELIJAH JOHNSON
612 S MYRTLE AVE # 100
MONROVIA, CA 91016-3406
Phone number: 909-689-4135
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Mailing Address
ELIJAH JOHNSON
6887 FISK CT
RANCHO CUCAMONGA, CA 91701-7560
Phone number:
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