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1477688133
JOHNNY LEE SMITH
BAKERSFIELD, CA
NPI
1477688133
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA RI-S1311262017)
Enumeration Date
2007-02-22
Last Update Date
2014-12-05
Business Address
Mr. JOHNNY LEE SMITH
1301 CALIFORNIA AVE
BAKERSFIELD, CA 93304-1190
Phone number: 661-324-4756
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Mailing Address
Mr. JOHNNY LEE SMITH
531 KNOTTS ST
BAKERSFIELD, CA 93305-3043
Phone number: 661-215-3418
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