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1487426706
TYESHA LYNN NICOLE JOHNSON-KING
STOCKTON, CA
NPI
1487426706
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2023-10-30
Last Update Date
2024-01-09
Business Address
TYESHA LYNN NICOLE JOHNSON-KING
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8804
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Mailing Address
TYESHA LYNN NICOLE JOHNSON-KING
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8804
Copy
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