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1790977981
DELOIS PENELOPE JOHNSON
SANTA MONICA, CA
NPI
1790977981
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: 101YM0800X)
Enumeration Date
2007-08-13
Last Update Date
2007-08-13
Business Address
Ms. DELOIS PENELOPE JOHNSON
1328 2ND ST
SANTA MONICA, CA 90401-1122
Phone number: 310-394-6889
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Mailing Address
Ms. DELOIS PENELOPE JOHNSON
1328 2ND ST
SANTA MONICA, CA 90401-1122
Phone number: 310-394-6889
Copy
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