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1770157687
GINA NICOLE JOHNSON
TAMARAC, FL
NPI
1770157687
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11012991)
Enumeration Date
2021-05-15
Last Update Date
2021-05-15
Business Address
GINA NICOLE JOHNSON ARNP
2713 NW 53RD ST
TAMARAC, FL 33309-2534
Phone number: 954-610-9948
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Mailing Address
GINA NICOLE JOHNSON ARNP
2713 NW 53RD ST
TAMARAC, FL 33309-2534
Phone number: 954-610-9948
Copy
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