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1699853887
KELLEY PURVIS JOHNSON
IMMOKALEE, FL
NPI
1699853887
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: FL dn15182)
Enumeration Date
2006-11-02
Last Update Date
2007-07-08
Business Address
Dr. KELLEY PURVIS JOHNSON D.M.D.
1454 MADISON AVE W
IMMOKALEE, FL 34142-2200
Phone number: 239-658-3000
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Mailing Address
Dr. KELLEY PURVIS JOHNSON D.M.D.
18121 LAGOS WAY
NAPLES, FL 34110-2764
Phone number: 239-597-2437
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