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1629209515
LATIVIA DEANNA JOHNSON
TAMPA, FL
NPI
1629209515
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
(Licence: FL 230667)
Enumeration Date
2009-07-27
Last Update Date
2009-07-27
Business Address
Ms. LATIVIA DEANNA JOHNSON
1306 E ANNIE ST APT A
TAMPA, FL 33612-8746
Phone number: 863-440-2662
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Mailing Address
Ms. LATIVIA DEANNA JOHNSON
PO BOX 1003
FORT MEADE, FL 33841-1003
Phone number: 863-440-2662
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