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1639415235
WAVERLY JOHNSON
LOS ANGELES, CA
NPI
1639415235
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174H00000X Health Educator
Enumeration Date
2012-12-31
Last Update Date
2012-12-31
Business Address
Mr. WAVERLY JOHNSON
1726 E. 117TH ST.
LOS ANGELES, CA 90059
Phone number: 323-566-1965
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Mailing Address
Mr. WAVERLY JOHNSON
6002 5TH AVE
LOS ANGELES, CA 90043-4212
Phone number: 323-778-0223
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