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1841703535
RODNEY DWAYNE JOHNSON
LOS ANGELES, CA
NPI
1841703535
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 190081kn)
Enumeration Date
2017-11-16
Last Update Date
2017-11-16
Business Address
RODNEY DWAYNE JOHNSON CAADE 12397-R
4445 BURNS AVE
LOS ANGELES, CA 90029-2702
Phone number: 323-664-8969
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Mailing Address
RODNEY DWAYNE JOHNSON CAADE 12397-R
4445 BURNS AVE
LOS ANGELES, CA 90029-2702
Phone number: 323-664-8969
Copy
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