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1801639141
MARK FOSTER JOHNSON
REDDING, CA
NPI
1801639141
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA 95030343)
Enumeration Date
2024-06-14
Last Update Date
2024-06-14
Business Address
MARK FOSTER JOHNSON
1742 OREGON ST
REDDING, CA 96001-1717
Phone number: 530-646-7269
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Mailing Address
MARK FOSTER JOHNSON
PSC 37 BOX 2903
APO, AE 09459-0030
Phone number:
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