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1356450159
PHILLIP RANDOLPH JOHNSON
SAN DIEGO, CA
NPI
1356450159
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 51943)
Enumeration Date
2006-08-29
Last Update Date
2018-03-17
Business Address
PHILLIP RANDOLPH JOHNSON
5454 EL CAJON BLVD
SAN DIEGO, CA 92115-3621
Phone number: 619-515-2400
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Mailing Address
PHILLIP RANDOLPH JOHNSON
823 GATEWAY CENTER WAY
SAN DIEGO, CA 92102-4541
Phone number: 619-906-4623
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