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1720263304
ERIC JOHNSON
GRAND TERRACE, CA
NPI
1720263304
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 18614)
Enumeration Date
2008-01-02
Last Update Date
2008-01-02
Business Address
ERIC JOHNSON
12139 MOUNT VERNON AVE
GRAND TERRACE, CA 92313-5586
Phone number: 909-370-3396
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Mailing Address
ERIC JOHNSON
12139 MOUNT VERNON AVE
GRAND TERRACE, CA 92313-5586
Phone number:
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