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1871363507
MARISA TAFARE JOHNSON
ROSEVILLE, CA
NPI
1871363507
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2024-01-03
Last Update Date
2024-06-27
Business Address
Mrs. MARISA TAFARE JOHNSON
101 CIRBY HILLS DR
ROSEVILLE, CA 95678-4360
Phone number: 855-223-7123
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Mailing Address
Mrs. MARISA TAFARE JOHNSON
101 CIRBY HILLS DR
ROSEVILLE, CA 95678-4360
Phone number: 916-872-6560
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