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1487021432
MICHAEL JOHANSEN
SAN LEANDRO, CA
NPI
1487021432
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2015-08-25
Last Update Date
2015-08-25
Business Address
-- MICHAEL JOHANSEN
2275 ARLINGTON DR
SAN LEANDRO, CA 94578-1132
Phone number: 510-317-1444
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Mailing Address
-- MICHAEL JOHANSEN
2275 ARLINGTON DR
SAN LEANDRO, CA 94578-1132
Phone number: 510-317-1444
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