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1669151577
ELBA MARINA JOHNSON
FORT MYERS, FL
NPI
1669151577
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: FL PN5248559)
Enumeration Date
2023-07-17
Last Update Date
2023-07-17
Business Address
ELBA MARINA JOHNSON
31 BARKLEY CIR
FORT MYERS, FL 33907-7628
Phone number: 239-600-7165
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Mailing Address
ELBA MARINA JOHNSON
13231 SEASIDE HARBOUR DR
N FT MYERS, FL 33903-7118
Phone number: 239-565-0004
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