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1043663388
ISHMECKA JOHNSON
TAMPA, FL
NPI
1043663388
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: FL pn5216805)
Enumeration Date
2016-07-22
Last Update Date
2016-07-22
Business Address
-- ISHMECKA JOHNSON
5707 N 22ND ST
TAMPA, FL 33610-4350
Phone number: 813-239-8069
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Mailing Address
-- ISHMECKA JOHNSON
5707 N 22ND ST
TAMPA, FL 33610-4350
Phone number: 813-239-8069
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