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1700562741
LORISSA MARIE JOHNSON
JACKSONVILLE, FL
NPI
1700562741
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-06-26
Last Update Date
2023-06-26
Business Address
LORISSA MARIE JOHNSON
12276 SAN JOSE BLVD STE 508
JACKSONVILLE, FL 32223-8618
Phone number: 904-886-3228
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Mailing Address
LORISSA MARIE JOHNSON
12276 SAN JOSE BLVD STE 508
JACKSONVILLE, FL 32223-8618
Phone number: 904-886-3228
Copy
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