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1497025951
EDWIN DALE JOHNSON
SAN BERNARDINO, CA
NPI
1497025951
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-12-30
Last Update Date
2011-12-30
Business Address
Mr. EDWIN DALE JOHNSON
572 N ARROWHEAD AVE STE. 100
SAN BERNARDINO, CA 92401-1251
Phone number: 909-266-2700
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Mailing Address
Mr. EDWIN DALE JOHNSON
572 N ARROWHEAD AVE STE. 100
SAN BERNARDINO, CA 92401-1251
Phone number: 909-266-2700
Copy
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