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1730649294
ALEXIS LARAE JOHNSON
SAN DIEGO, CA
NPI
1730649294
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-03-21
Last Update Date
2019-03-21
Business Address
ALEXIS LARAE JOHNSON
5755 OBERLIN DR STE 300
SAN DIEGO, CA 92121-4717
Phone number: 800-249-1266
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Mailing Address
ALEXIS LARAE JOHNSON
1301 E ORANGEWOOD AVE
ANAHEIM, CA 92805-6807
Phone number: 800-249-1266
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