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1942020201
CHARVONNE WISHOM JOHNSON
EL SEGUNDO, CA
NPI
1942020201
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-10-11
Last Update Date
2024-10-11
Business Address
CHARVONNE WISHOM JOHNSON
100 N PACIFIC COAST HWY
EL SEGUNDO, CA 90245-4359
Phone number: 424-282-3991
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Mailing Address
CHARVONNE WISHOM JOHNSON
100 N PACIFIC COAST HWY
EL SEGUNDO, CA 90245-4359
Phone number: 424-282-3991
Copy
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