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1528288636
EDWARD JOHNSON
LOS ANGELES, CA
NPI
1528288636
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 190329an)
Enumeration Date
2007-04-30
Last Update Date
2007-07-08
Business Address
-- EDWARD JOHNSON
5135 S WESTERN AVE
LOS ANGELES, CA 90062-2333
Phone number: 818-997-6876
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Mailing Address
-- EDWARD JOHNSON
3809 W ADAMS BLVD
LOS ANGELES, CA 90018-1751
Phone number:
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