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1548918063
DAVONTA JOHNSON
PETALUMA, CA
NPI
1548918063
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-03-14
Last Update Date
2022-03-14
Business Address
DAVONTA JOHNSON
1301 REDWOOD WAY STE 120
PETALUMA, CA 94954-1136
Phone number: 707-806-9921
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Mailing Address
DAVONTA JOHNSON
2330 CHURCH LN APT 37
SAN PABLO, CA 94806-3748
Phone number: 510-660-4905
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