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1760597009
KENNETH EUGENE JOHNSON
DAVIE, FL
NPI
1760597009
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: FL OS0007290)
Enumeration Date
2006-08-19
Last Update Date
2007-07-08
Business Address
Dr. KENNETH EUGENE JOHNSON D.O.
3200 S UNIVERSITY DR
DAVIE, FL 33328-2018
Phone number: 954-262-1142
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Mailing Address
Dr. KENNETH EUGENE JOHNSON D.O.
6100 SW 20TH ST
PLANTATION, FL 33317-5226
Phone number: 954-584-1448
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