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1407441819
WILLIE L JOHNSON
JACKSONVILLE, FL
NPI
1407441819
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
376J00000X Homemaker
Enumeration Date
2021-03-08
Last Update Date
2021-03-08
Business Address
Mr. WILLIE L JOHNSON
6835 TINKERBELL LN
JACKSONVILLE, FL 32210-3655
Phone number: 904-625-1811
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Mailing Address
Mr. WILLIE L JOHNSON
6835 TINKERBELL LN
JACKSONVILLE, FL 32210-3655
Phone number: 904-625-1811
Copy
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