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1992392989
OMAKA JOHNSON
SAN FRANCISCO, CA
NPI
1992392989
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1406110920)
Enumeration Date
2020-12-24
Last Update Date
2020-12-24
Business Address
OMAKA JOHNSON
815 BUENA VISTA AVE W
SAN FRANCISCO, CA 94117-4108
Phone number: 415-762-3705
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Mailing Address
OMAKA JOHNSON
7532 GARFIELD AVE
OAKLAND, CA 94605-2818
Phone number: 510-679-7925
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