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1548528334
DONALD WAYNE JOHNSON
EUREKA, CA
NPI
1548528334
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA J0505161459)
Enumeration Date
2012-04-30
Last Update Date
2012-04-30
Business Address
-- DONALD WAYNE JOHNSON
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
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Mailing Address
-- DONALD WAYNE JOHNSON
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
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