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1760979496
FHONTANIEC JOHNSON
SAN BERNARDINO, CA
NPI
1760979496
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 224172)
Enumeration Date
2018-04-18
Last Update Date
2018-04-18
Business Address
FHONTANIEC JOHNSON
2080 S E ST
SAN BERNARDINO, CA 92408-2773
Phone number: 909-388-9191
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Mailing Address
FHONTANIEC JOHNSON
2080 S E ST
SAN BERNARDINO, CA 92408-2773
Phone number: 909-388-9191
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