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1720813819
JOHN RICHARD JOHNSON
VICTORVILLE, CA
NPI
1720813819
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
(Licence: CA C15BF-07-08-E-24-009)
Enumeration Date
2024-09-06
Last Update Date
2024-09-06
Business Address
JOHN RICHARD JOHNSON
15497 W SAND ST
VICTORVILLE, CA 92392-2910
Phone number: 442-327-9311
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Mailing Address
JOHN RICHARD JOHNSON
15497 W SAND ST
VICTORVILLE, CA 92392-2910
Phone number: 442-327-9311
Copy
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