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1205809746
MITCHELL W JOHNSON
VERO BEACH, FL
NPI
1205809746
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: FL PA 2767)
Enumeration Date
2006-02-07
Last Update Date
2010-01-26
Business Address
-- MITCHELL W JOHNSON PA
3770 7TH TER #101
VERO BEACH, FL 32960-6553
Phone number: 772-567-6602
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Mailing Address
-- MITCHELL W JOHNSON PA
3770 7TH TER #101
VERO BEACH, FL 32960-6553
Phone number: 772-567-6602
Copy
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