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1740240837
GARY R JOHNSON
WINTER HAVEN, FL
NPI
1740240837
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: FL ME36696)
Enumeration Date
2006-03-24
Last Update Date
2012-01-10
Business Address
Dr. GARY R JOHNSON MD
320 1ST ST N
WINTER HAVEN, FL 33881-4113
Phone number: 863-508-0202
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Mailing Address
Dr. GARY R JOHNSON MD
PO BOX 2797
WINTER HAVEN, FL 33883
Phone number: 863-508-0202
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