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1659126902
GRACE PATRICIA JOHNSON
SAN DIEGO, CA
NPI
1659126902
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Former Name
GRACE WATKINS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-20
Last Update Date
2024-04-20
Business Address
GRACE PATRICIA JOHNSON PA-S
9055 BALBOA AVE
SAN DIEGO, CA 92123-1509
Phone number: 619-849-3331
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Mailing Address
GRACE PATRICIA JOHNSON PA-S
9055 BALBOA AVE
SAN DIEGO, CA 92123-1509
Phone number:
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