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1699374678
TIY JOHNSON
LAKELAND, FL
NPI
1699374678
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2020-10-21
Last Update Date
2020-10-21
Business Address
TIY JOHNSON
715 N LAKE AVE
LAKELAND, FL 33801-1908
Phone number: 863-519-0575
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Mailing Address
TIY JOHNSON
PO BOX 1559
BARTOW, FL 33831-1559
Phone number: 863-519-0575
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