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Individual

JOHN MICHAEL HORNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
455 KST, CRESCENT CITY, CA 95531
(707) 464-7224
(707) 465-4272
Mailing address
455 KST, CRESCENT CITY, CA 95531
(707) 464-7224
(707) 465-4272

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
R1244530217
CA

Other

Enumeration date
02/06/2019
Last updated
11/25/2025
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