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1912472572
TRACI JE'DON JOHNSON
LANCASTER, CA
NPI
1912472572
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 273601)
Enumeration Date
2018-10-10
Last Update Date
2018-10-12
Business Address
TRACI JE'DON JOHNSON
506 W JACKMAN ST
LANCASTER, CA 93534-2531
Phone number: 661-726-2850
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Mailing Address
TRACI JE'DON JOHNSON
506 W JACKMAN ST
LANCASTER, CA 93534-2531
Phone number: 661-726-2850
Copy
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