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Individual
CHET JOHNSON
Active
Individual
CHET JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
171M00000X
CA
Other
Enumeration date
08/11/2008
Last updated
08/11/2008
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