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1932829769
DARRELL ELLISON JOHNSON
RIVERSIDE, CA
NPI
1932829769
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 95222348)
Enumeration Date
2022-08-31
Last Update Date
2023-11-15
Business Address
DARRELL ELLISON JOHNSON
7875 RAINCROSS CT
RIVERSIDE, CA 92507-0011
Phone number: 773-680-2966
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Mailing Address
DARRELL ELLISON JOHNSON
7875 RAINCROSS CT
RIVERSIDE, CA 92507-0011
Phone number: 773-680-2966
Copy
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