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1205926219
BENJAMIN JOHNSON
FERNANDINA BEACH, FL
NPI
1205926219
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: RI PS00654)
Enumeration Date
2006-10-13
Last Update Date
2024-04-30
Business Address
BENJAMIN JOHNSON PH.D.
3019 SEA MARSH RD
FERNANDINA BEACH, FL 32034-5055
Phone number: 401-829-1023
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Mailing Address
BENJAMIN JOHNSON PH.D.
3019 SEA MARSH RD
FERNANDINA BEACH, FL 32034-5055
Phone number: 401-829-1023
Copy
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