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1083836852
SANDRA Y JOHNSON
JACKSONVILLE, FL
NPI
1083836852
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: FL NH2114)
Enumeration Date
2007-05-02
Last Update Date
2012-12-31
Business Address
Ms. SANDRA Y JOHNSON
1800 EDGEWOOD AVE, WEST #164
JACKSONVILLE, FL 32208-5928
Phone number: 904-318-7993
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Mailing Address
Ms. SANDRA Y JOHNSON
1800 EDGEWOOD AVE W APT 164
JACKSONVILLE, FL 32208-8004
Phone number: 904-318-7993
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