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1821353350
JANE JOHANSSON
LADY LAKE, FL
NPI
1821353350
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL ARNP9399755)
Enumeration Date
2012-07-11
Last Update Date
2015-02-02
Business Address
-- JANE JOHANSSON ARNP
1400 N US HIGHWAY 441 SUITE 552
LADY LAKE, FL 32159-8975
Phone number: 352-753-9777
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Mailing Address
-- JANE JOHANSSON ARNP
858 KLINE ST
THE VILLAGES, FL 32162-3773
Phone number: 203-910-9650
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