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1447070214
GRACE ELIZABETH JOHNSON
FORT MYERS, FL
NPI
1447070214
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2024-10-15
Last Update Date
2025-01-02
Business Address
GRACE ELIZABETH JOHNSON PA-C
9981 S HEALTHPARK DR
FORT MYERS, FL 33908-3618
Phone number: 239-343-5437
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Mailing Address
GRACE ELIZABETH JOHNSON PA-C
10154 VIA COLOMBA CIR
FORT MYERS, FL 33966-6549
Phone number: 248-219-6165
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