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1578916508
TARA JOHNSON
BRADENTON, FL
NPI
1578916508
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL ARNP9371213)
Enumeration Date
2016-07-14
Last Update Date
2016-07-14
Business Address
-- TARA JOHNSON
5860 RANCH LAKE BLVD SUITE 200
BRADENTON, FL 34202-3718
Phone number: 941-388-8997
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Mailing Address
-- TARA JOHNSON
5860 RANCH LAKE BLVD SUITE 200
BRADENTON, FL 34202-3718
Phone number: 941-388-8997
Copy
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