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1861169252
JERVONNE LANEE JOHNSON
LOS ANGELES, CA
NPI
1861169252
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95018172)
Enumeration Date
2021-08-24
Last Update Date
2024-05-15
Business Address
JERVONNE LANEE JOHNSON
5901 W CENTURY BLVD STE 750
LOS ANGELES, CA 90045-5443
Phone number: 888-880-3451
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Mailing Address
JERVONNE LANEE JOHNSON
30 PALATINE APT 338
IRVINE, CA 92612-8864
Phone number: 213-304-6050
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