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1114005667
KATHRYN JOHNSON
MOUNT DORA, FL
NPI
1114005667
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Entity Type
Organization
Authorized Contact
KATHRYN JOHNSON
Psychosocial Clinician Ii
352-988-4181
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2006-11-01
Last Update Date
2020-08-22
Business Address
KATHRYN JOHNSON
4400 N HIGHWAY 19A SUITE 4
MOUNT DORA, FL 32757-2032
Phone number: 352-988-4181
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Mailing Address
KATHRYN JOHNSON
5655 S ORANGE AVE
ORLANDO, FL 32809-4289
Phone number: 407-895-4100
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