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1295850576
LAURIE CARLA JOHNS-STOUTAMIRE
ORANGE PARK, FL
NPI
1295850576
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: FL Fl 13497)
Enumeration Date
2007-03-19
Last Update Date
2007-07-08
Business Address
Dr. LAURIE CARLA JOHNS-STOUTAMIRE DMD
2155 LOCH RANE BLVD
ORANGE PARK, FL 32073-5719
Phone number: 904-264-7516
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Mailing Address
Dr. LAURIE CARLA JOHNS-STOUTAMIRE DMD
662 CHERRY GROVE RD
ORANGE PARK, FL 32073-4293
Phone number: 904-298-2895
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