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1366930083
SHOAAXUM JOHNSON
SACRAMENTO, CA
NPI
1366930083
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA RBT-17-38965)
Enumeration Date
2018-04-27
Last Update Date
2018-04-27
Business Address
SHOAAXUM JOHNSON BA, RBT
9755 LINCOLN VILLAGE DR
SACRAMENTO, CA 95827-3334
Phone number: 916-363-6103
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Mailing Address
SHOAAXUM JOHNSON BA, RBT
9755 LINCOLN VILLAGE DR
SACRAMENTO, CA 95827-3334
Phone number: 916-363-6103
Copy
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