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1841489903
KELLY RENE JOHNSON
UKIAH, CA
NPI
1841489903
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-10-15
Last Update Date
2014-02-17
Business Address
-- KELLY RENE JOHNSON
727 S. STATE STREET
UKIAH, CA 95482
Phone number: 707-467-5828
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Mailing Address
-- KELLY RENE JOHNSON
727 S STATE ST
UKIAH, CA 95482-5815
Phone number: 707-467-5828
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