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1750670287
DAVE ANDREW JOHANSEN
PASADENA, CA
NPI
1750670287
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2011-04-05
Last Update Date
2013-07-25
Business Address
DAVE ANDREW JOHANSEN
940 AVENUE 64
PASADENA, CA 91105
Phone number: 323-254-2274
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Mailing Address
DAVE ANDREW JOHANSEN
940 AVENUE 64
PASADENA, CA 91105
Phone number: 323-254-2274
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