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1821361361
COURTNEY LATRICE JOHNSON
SAN DIEGO, CA
NPI
1821361361
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2012-02-14
Last Update Date
2012-02-14
Business Address
Ms. COURTNEY LATRICE JOHNSON IDC
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-7000
Phone number: 619-947-2500
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Mailing Address
Ms. COURTNEY LATRICE JOHNSON IDC
PSC 451 BOX 340
FPO, AE 09834
Phone number: 619-947-2500
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