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1790263044
JORDAN ASHLEIGH JOHNSON
SAN LEANDRO, CA
NPI
1790263044
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2018-07-30
Last Update Date
2018-08-01
Business Address
JORDAN ASHLEIGH JOHNSON
2275 ARLINGTON DR
SAN LEANDRO, CA 94578
Phone number: 510-317-1444
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Mailing Address
JORDAN ASHLEIGH JOHNSON
2275 ARLINGTON DR
SAN LEANDRO, CA 94578-1132
Phone number: 510-317-1444
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