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1790560969
BLAKE JOHNSON
OCEANSIDE, CA
NPI
1790560969
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 304474)
Enumeration Date
2023-08-28
Last Update Date
2023-09-12
Business Address
BLAKE JOHNSON
2204 S EL CAMINO REAL STE 225
OCEANSIDE, CA 92054-6376
Phone number: 858-755-5200
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Mailing Address
BLAKE JOHNSON
380 STEVENS AVE STE 314
SOLANA BEACH, CA 92075-2069
Phone number: 858-755-5200
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