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1598321085
DOMINIQUE JASMINE JOHNSON
SAN JACINTO, CA
NPI
1598321085
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-05-10
Last Update Date
2019-05-10
Business Address
DOMINIQUE JASMINE JOHNSON
1370 S STATE ST STE A
SAN JACINTO, CA 92583-4922
Phone number: 951-791-3350
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Mailing Address
DOMINIQUE JASMINE JOHNSON
1370 S STATE ST STE A
SAN JACINTO, CA 92583-4922
Phone number: 951-791-3350
Copy
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