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1558876276
MARLIN JOHNSON
TAMPA, FL
NPI
1558876276
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA27014)
Enumeration Date
2017-12-04
Last Update Date
2017-12-04
Business Address
MARLIN JOHNSON
4714 N HABANA AVE APT 3004
TAMPA, FL 33614-7141
Phone number: 813-727-0734
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Mailing Address
MARLIN JOHNSON
4714 N HABANA AVE APT 3004
TAMPA, FL 33614-7141
Phone number: 813-727-0734
Copy
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