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1992539753
GERALD JOHNSEN
SAN DIEGO, CA
NPI
1992539753
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-08-26
Last Update Date
2024-08-26
Business Address
GERALD JOHNSEN
4141 PACIFIC HWY
SAN DIEGO, CA 92110-2030
Phone number: 619-393-2000
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Mailing Address
GERALD JOHNSEN
1240 INDIA ST UNIT 315
SAN DIEGO, CA 92101-3551
Phone number: 707-499-1317
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