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1780168302
ROBERT WAYNE JOHNSON
FRESNO, CA
NPI
1780168302
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA Aii050480218)
Enumeration Date
2018-09-19
Last Update Date
2018-09-19
Business Address
ROBERT WAYNE JOHNSON
515 S CEDAR AVE
FRESNO, CA 93702-2908
Phone number: 559-600-6051
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Mailing Address
ROBERT WAYNE JOHNSON
515 S CEDAR AVE
FRESNO, CA 93702-2908
Phone number: 559-600-6051
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