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1669954160
NICOLE ELIZABETH JOHNSON
SAN DIEGO, CA
NPI
1669954160
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-08-30
Last Update Date
2018-08-30
Business Address
Miss NICOLE ELIZABETH JOHNSON CADTP #6406
3767 CENTRAL AVE
SAN DIEGO, CA 92105-2506
Phone number: 619-584-4010
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Mailing Address
Miss NICOLE ELIZABETH JOHNSON CADTP #6406
3767 CENTRAL AVE
SAN DIEGO, CA 92105-2599
Phone number: 619-584-4010
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