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1609093277
DERRICK BERNARD JOHNSON
LONG BEACH, CA
NPI
1609093277
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA15689)
Enumeration Date
2007-04-18
Last Update Date
2012-11-09
Business Address
-- DERRICK BERNARD JOHNSON PA
2925 PALO VERDE AVE
LONG BEACH, CA 90815-1552
Phone number: 562-429-2473
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Mailing Address
-- DERRICK BERNARD JOHNSON PA
2925 PALO VERDE AVE
LONG BEACH, CA 90815-1552
Phone number: 562-429-2473
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