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1154081131
CHANTELLE SHANEKA JOHNSON
HOMESTEAD, FL
NPI
1154081131
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL APRN11016781)
Enumeration Date
2021-12-18
Last Update Date
2021-12-18
Business Address
CHANTELLE SHANEKA JOHNSON NP
14151 SW 275TH ST
HOMESTEAD, FL 33032-8819
Phone number: 786-468-5428
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Mailing Address
CHANTELLE SHANEKA JOHNSON NP
14151 SW 275TH ST
HOMESTEAD, FL 33032-8819
Phone number: 786-468-5428
Copy
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