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1770609513
DANITA MATHIS-JOHNSON
SAN JOSE, CA
NPI
1770609513
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-03-22
Last Update Date
2007-07-08
Business Address
-- DANITA MATHIS-JOHNSON
9500 MALECH ROAD
SAN JOSE, CA 95138
Phone number: 408-281-6595
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Mailing Address
-- DANITA MATHIS-JOHNSON
584 GROTH DR
SAN JOSE, CA 95111-4506
Phone number:
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