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1174132047
TAYLISA JOHNSON
CAPE CORAL, FL
NPI
1174132047
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
372600000X Adult Companion
Additional Taxonomies
376J00000X Homemaker
Enumeration Date
2020-07-27
Last Update Date
2020-07-27
Business Address
TAYLISA JOHNSON
105 SW TRAFALGAR PKWY
CAPE CORAL, FL 33991-3489
Phone number: 239-240-6721
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Mailing Address
TAYLISA JOHNSON
105 SW TRAFALGAR PKWY
CAPE CORAL, FL 33991-3489
Phone number: 239-240-6721
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