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1366812505
FAWNTASIA JOHNSON
POMONA, CA
NPI
1366812505
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2015-09-30
Last Update Date
2015-09-30
Business Address
FAWNTASIA JOHNSON
160 E HOLT AVE B
POMONA, CA 91767-5406
Phone number: 909-620-2521
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Mailing Address
FAWNTASIA JOHNSON
160 E HOLT AVE B
POMONA, CA 91767-5406
Phone number: 909-620-2521
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