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1417726019
TRACEY JOHNSON
SAN LUIS OBISPO, CA
NPI
1417726019
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2023-12-22
Last Update Date
2023-12-22
Business Address
TRACEY JOHNSON
784 HIGH ST
SAN LUIS OBISPO, CA 93401-5243
Phone number: 805-503-0305
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Mailing Address
TRACEY JOHNSON
784 HIGH ST
SAN LUIS OBISPO, CA 93401-5243
Phone number: 805-503-0305
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