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1902357874
SAMUEL ALEXANDER JOHNSON
VICTORVILLE, CA
NPI
1902357874
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA J1006181711)
Enumeration Date
2016-10-17
Last Update Date
2017-01-18
Business Address
Dr. SAMUEL ALEXANDER JOHNSON D.B.C, M-RAS, C.S.C
16755 HUGHES RD
VICTORVILLE, CA 92395-4563
Phone number: 760-684-3419
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Mailing Address
Dr. SAMUEL ALEXANDER JOHNSON D.B.C, M-RAS, C.S.C
14619 MAVERICK PL
VICTORVILLE, CA 92394-7082
Phone number: 760-684-3419
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