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1063689172
RYAN JOHNSON
ORLANDO, FL
NPI
1063689172
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL 1078006)
Enumeration Date
2008-05-08
Last Update Date
2010-03-29
Business Address
Mr. RYAN JOHNSON PA
77 W UNDERWOOD ST STE 200
ORLANDO, FL 32806-1122
Phone number: 407-649-6884
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Mailing Address
Mr. RYAN JOHNSON PA
77 W UNDERWOOD ST STE 200
ORLANDO, FL 32806-1122
Phone number: 407-649-6884
Copy
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