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1295184737
LIANA MICHELLE JOHNSON
VIRGINIA BEACH, VA
NPI
1295184737
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Former Name
LIANA MICHELLE FLY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
Enumeration Date
2016-06-06
Last Update Date
2016-06-06
Business Address
-- LIANA MICHELLE JOHNSON
4092 FOXWOOD DR
VIRGINIA BEACH, VA 23462-5225
Phone number: 757-467-4200
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Mailing Address
-- LIANA MICHELLE JOHNSON
220 VERDE ST
VIRGINIA BEACH, VA 23462-4419
Phone number: 410-948-8330
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