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1457880155
NICHOLAS DEAN JOHNSON
TALLAHASSEE, FL
NPI
1457880155
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL 24299)
Enumeration Date
2017-06-06
Last Update Date
2017-06-06
Business Address
-- NICHOLAS DEAN JOHNSON PTA
1650 PHILLIPS RD
TALLAHASSEE, FL 32308
Phone number: 850-942-9868
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Mailing Address
-- NICHOLAS DEAN JOHNSON PTA
1827 IVAN DR
TALLAHASSEE, FL 32303
Phone number: 904-713-7762
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