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1639896061
ELISE NICOLE JOHNSTON
FORT MYERS, FL
NPI
1639896061
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9116608)
Enumeration Date
2022-10-26
Last Update Date
2024-04-11
Business Address
ELISE NICOLE JOHNSTON PA-C
6811 PALISADES PARK CT STE 1
FORT MYERS, FL 33912-7130
Phone number: 239-533-5177
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Mailing Address
ELISE NICOLE JOHNSTON PA-C
12109 COUNTY ROAD 103
OXFORD, FL 34484-2951
Phone number: 352-504-4623
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