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1780341438
TARA JOHNSON NURSE PRACTITIONER LLC
BRADENTON, FL
NPI
1780341438
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Entity Type
Organization
Authorized Contact
TARA JOHNSON
Owner
941-388-8997
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2021-11-17
Last Update Date
2021-11-17
Business Address
TARA JOHNSON NURSE PRACTITIONER LLC
1642 WHITE BREEZE CV
BRADENTON, FL 34208-5719
Phone number: 941-388-8997
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Mailing Address
TARA JOHNSON NURSE PRACTITIONER LLC
1642 WHITE BREEZE CV
BRADENTON, FL 34208-5719
Phone number:
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