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1396012514
WESLEY DAVID JOHNSON
RAPID CITY, SD
NPI
1396012514
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: SD 08051365)
Enumeration Date
2011-11-17
Last Update Date
2011-11-17
Business Address
-- WESLEY DAVID JOHNSON CCDC II
809 SOUTH ST STE 208
RAPID CITY, SD 57701-3583
Phone number: 605-391-3482
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Mailing Address
-- WESLEY DAVID JOHNSON CCDC II
809 SOUTH ST STE 208
RAPID CITY, NJ 57701
Phone number: 605-391-3482
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