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1790491785
DE'SHANE JOHNSON
OAKLAND, CA
NPI
1790491785
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2023-01-24
Last Update Date
2023-01-24
Business Address
-- DE'SHANE JOHNSON
1700 BROADWAY # 500
OAKLAND, CA 94612-2141
Phone number: 510-273-4200
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Mailing Address
-- DE'SHANE JOHNSON
5674 STONERIDGE DR
PLEASANTON, CA 94588-8500
Phone number: 925-520-0005
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