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1164903548
KENNETHIA JOHNSON
PORT ST LUCIE, FL
NPI
1164903548
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-08-23
Last Update Date
2022-02-28
Business Address
KENNETHIA JOHNSON
247 SW PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34984-5015
Phone number: 772-207-1356
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Mailing Address
KENNETHIA JOHNSON
2675 NW HATCHES HARBOR RD APT 102
PORT ST LUCIE, FL 34983-4124
Phone number:
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