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1891061925
GWENDOLYN JOHNSON
PASADENA, CA
NPI
1891061925
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2012-03-22
Last Update Date
2012-03-22
Business Address
-- GWENDOLYN JOHNSON
1007 N LAKE AVE
PASADENA, CA 91104-4521
Phone number: 626-808-9746
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Mailing Address
-- GWENDOLYN JOHNSON
2403 EL MOLINO AVE
ALTADENA, CA 91001-2315
Phone number: 626-390-3877
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