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1396195368
KELLY JOHNSTON
ORMOND BEACH, FL
NPI
1396195368
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL SA7185)
Enumeration Date
2016-06-20
Last Update Date
2016-06-20
Business Address
Mrs. KELLY JOHNSTON
16 BLACK WATER WAY
ORMOND BEACH, FL 32174-5706
Phone number: 386-871-0428
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Mailing Address
Mrs. KELLY JOHNSTON
16 BLACK WATER WAY
ORMOND BEACH, FL 32174-5706
Phone number:
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