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1396986394
.STEPHAN L JOHNSON
VALLEJO, CA
NPI
1396986394
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-03-20
Last Update Date
2009-03-20
Business Address
Mr. .STEPHAN L JOHNSON
1017 TENNESSEE ST
VALLEJO, CA 94590-4547
Phone number: 707-647-1520
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Mailing Address
Mr. .STEPHAN L JOHNSON
1017 TENNESSEE ST
VALLEJO, CA 94590-4547
Phone number:
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