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1407375488
CHRISTOPHER JOHNSON
SAN DIEGO, CA
NPI
1407375488
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date
2017-09-11
Last Update Date
2017-09-11
Business Address
CHRISTOPHER JOHNSON
3170 BEBAS LN
SAN DIEGO, CA 92123-2046
Phone number: 847-345-5018
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Mailing Address
CHRISTOPHER JOHNSON
3170 BEBAS LN
SAN DIEGO, CA 92123-2046
Phone number:
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