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1073273660
LAVAROUS ANTWON JOHNSON
TAMPA, FL
NPI
1073273660
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
Enumeration Date
2021-12-22
Last Update Date
2023-05-25
Business Address
LAVAROUS ANTWON JOHNSON Physician Assistant
401 W KENNEDY BLVD
TAMPA, FL 33606-1450
Phone number: 757-528-7563
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Mailing Address
LAVAROUS ANTWON JOHNSON Physician Assistant
302 W FLETCHER AVE
TAMPA, FL 33612-3415
Phone number:
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