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1396585378
CHARLOTTE MATTEA JOHNSON
FT LAUDERDALE, FL
NPI
1396585378
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
Enumeration Date
2024-05-28
Last Update Date
2024-05-30
Business Address
CHARLOTTE MATTEA JOHNSON
1314 E LAS OLAS BLVD
FT LAUDERDALE, FL 33301-2334
Phone number: 754-213-1031
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Mailing Address
CHARLOTTE MATTEA JOHNSON
4951 NW 18TH ST
LAUDERHILL, FL 33313-4117
Phone number: 754-213-1031
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