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1831754415
SHANTEL DENISE JOHNSON
MODESTO, CA
NPI
1831754415
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
374700000X Technician
Enumeration Date
2019-05-08
Last Update Date
2019-05-08
Business Address
SHANTEL DENISE JOHNSON
609 5TH ST
MODESTO, CA 95351-3316
Phone number: 209-341-0718
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Mailing Address
SHANTEL DENISE JOHNSON
609 5TH ST
MODESTO, CA 95351-3316
Phone number: 209-341-0718
Copy
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