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1639604176
NICOLE S. JOHNSON
SAN DIEGO, CA
NPI
1639604176
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-04-21
Last Update Date
2019-10-23
Business Address
NICOLE S. JOHNSON
3767 CENTRAL AVE
SAN DIEGO, CA 92105-2506
Phone number: 619-523-8121
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Mailing Address
NICOLE S. JOHNSON
3767 CENTRAL AVE
SAN DIEGO, CA 92105-2506
Phone number:
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