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1508041997
MARY ANN JOHNSON
GAINESVILLE, FL
NPI
1508041997
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: FL 683911896)
Enumeration Date
2008-01-03
Last Update Date
2008-01-03
Business Address
-- MARY ANN JOHNSON
6404 SW 63RD LN
GAINESVILLE, FL 32608-4787
Phone number: 352-374-7107
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Mailing Address
-- MARY ANN JOHNSON
6404 SW 63 LANE
GAINESVILLE, FL 32608
Phone number: 352-374-7107
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