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1609523240
THEODORE JOHNSON
PENSACOLA, FL
NPI
1609523240
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171000000X Military Health Care Provider
(Licence: VA 0101279593)
Enumeration Date
2022-03-03
Last Update Date
2023-08-22
Business Address
THEODORE JOHNSON MD
220 HOVEY RD
PENSACOLA, FL 32508-1044
Phone number: 703-395-8196
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Mailing Address
THEODORE JOHNSON MD
220 HOVEY RD
PENSACOLA, FL 32508-1044
Phone number:
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