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1487219150
BRYAN K JOHNSON
MOJAVE, CA
NPI
1487219150
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-05-07
Last Update Date
2019-05-07
Business Address
Mr. BRYAN K JOHNSON
16940 HIGHWAY 14 STE F
MOJAVE, CA 93501-1238
Phone number: 661-824-5020
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Mailing Address
Mr. BRYAN K JOHNSON
16940 HIGHWAY 14 STE F
MOJAVE, CA 93501-1238
Phone number: 323-608-0307
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