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1760077093
BREANNA JOHNSON
RIVERSIDE, CA
NPI
1760077093
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95016797)
Enumeration Date
2021-03-08
Last Update Date
2023-12-21
Business Address
BREANNA JOHNSON
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501-4135
Phone number: 951-788-3000
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Mailing Address
BREANNA JOHNSON
4222 E BROWN RD UNIT 13
MESA, AZ 85205-4056
Phone number: 909-731-1429
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