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1740846476
MOLLY ELIZABETH JOHNSON
SAN LUIS OBISPO, CA
NPI
1740846476
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 35546)
Enumeration Date
2019-05-17
Last Update Date
2019-05-17
Business Address
MOLLY ELIZABETH JOHNSON
2945 MCMILLAN AVE
SAN LUIS OBISPO, CA 93401-6766
Phone number: 805-439-4839
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Mailing Address
MOLLY ELIZABETH JOHNSON
2945 MCMILLAN AVE
SAN LUIS OBISPO, CA 93401-6766
Phone number: 805-439-4839
Copy
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