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1639773260
DEONICA JOHNSON
PORTLAND, OR
NPI
1639773260
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: THW000004133)
Enumeration Date
2020-11-24
Last Update Date
2020-11-24
Business Address
DEONICA JOHNSON
7916 SE FOSTER RD STE 201
PORTLAND, OR 97206-4289
Phone number: 503-465-2749
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Mailing Address
DEONICA JOHNSON
PO BOX 16576
PORTLAND, OR 97292-0576
Phone number:
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