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1750114385
PENELOPE ROSE JOHNSON
GRASS VALLEY, CA
NPI
1750114385
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-08-20
Last Update Date
2024-08-20
Business Address
PENELOPE ROSE JOHNSON
988 MCCOURTNEY RD
GRASS VALLEY, CA 95949-7400
Phone number: 530-265-1437
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Mailing Address
PENELOPE ROSE JOHNSON
500 CROWN POINT CIR STE 120
GRASS VALLEY, CA 95945-9561
Phone number:
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