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1396595138
LOGAN JOHNSON
ROCKLIN, CA
NPI
1396595138
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-03-25
Last Update Date
2024-03-25
Business Address
LOGAN JOHNSON
3101 SUNSET BLVD STE 1A
ROCKLIN, CA 95677-3097
Phone number: 916-773-0211
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Mailing Address
LOGAN JOHNSON
721 COPPERVALE CIR
ROCKLIN, CA 95765-4260
Phone number: 209-505-5751
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