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1275016149
STEPHEN DWAYNE JOHNSON
JACKSONVILLE, FL
NPI
1275016149
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2018-09-07
Last Update Date
2018-09-07
Business Address
STEPHEN DWAYNE JOHNSON
2392 EDGEWOOD AVE N
JACKSONVILLE, FL 32254-1725
Phone number: 904-781-7797
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Mailing Address
STEPHEN DWAYNE JOHNSON
2987 CAPTIVA BLUFF RD N
JACKSONVILLE, FL 32226-2063
Phone number: 904-803-4530
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