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1396142220
CANDACE JOHNSON
PHOENIX, AZ
NPI
1396142220
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: AZ 1105086)
Enumeration Date
2014-11-20
Last Update Date
2023-11-29
Business Address
CANDACE JOHNSON RD
1919 E THOMAS RD
PHOENIX, AZ 85016-7710
Phone number: 602-933-0935
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Mailing Address
CANDACE JOHNSON RD
1919 E THOMAS RD BLDG 2108 STE 101
PHOENIX, AZ 85016-7710
Phone number: 602-512-8029
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