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1063420883
MARY SUE JOHNSON
LADY LAKE, FL
NPI
1063420883
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ARNP-3346602)
Enumeration Date
2006-08-04
Last Update Date
2007-07-08
Business Address
Ms. MARY SUE JOHNSON ARNP-C
1560 SANTA BARBARA BLVD
LADY LAKE, FL 32159
Phone number: 352-750-5000
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Mailing Address
Ms. MARY SUE JOHNSON ARNP-C
1560 SANTA BARBARA BLVD
LADY LAKE, FL 32159
Phone number: 352-750-5000
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