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1497033625
SYLVESTER JOHNSON
COVINA, CA
NPI
1497033625
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-07-21
Last Update Date
2018-06-05
Business Address
SYLVESTER JOHNSON BA
4740 N GRAND AVE
COVINA, CA 91724
Phone number: 626-859-2089
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Mailing Address
SYLVESTER JOHNSON BA
4740 N GRAND AVE
COVINA, CA 91724-2005
Phone number: 626-859-2089
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