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1477856292
JOHN W JOHNSON
PORT ST LUCIE, FL
NPI
1477856292
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT19452)
Enumeration Date
2010-12-16
Last Update Date
2010-12-16
Business Address
Mr. JOHN W JOHNSON RPT
2165 SW RACE RD
PORT ST LUCIE, FL 34953-5738
Phone number: 772-240-0620
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Mailing Address
Mr. JOHN W JOHNSON RPT
2165 SW RACE RD
PORT ST LUCIE, FL 34953-5738
Phone number: 772-240-0620
Copy
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