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1528787140
KIMBERLY JOHNSON
FAIRFIELD, CA
NPI
1528787140
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-08-25
Last Update Date
2022-08-25
Business Address
KIMBERLY JOHNSON RAD-T
1225 TRAVIS BLVD
FAIRFIELD, CA 94533-4892
Phone number: 707-399-9105
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Mailing Address
KIMBERLY JOHNSON RAD-T
609 JEFFERSON ST
FAIRFIELD, CA 94533-6293
Phone number: 707-399-9190
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