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1861508715
GRADY EARL JOHNSON
JACKSONVILLE, FL
NPI
1861508715
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: FL DN 7137)
Enumeration Date
2006-08-22
Last Update Date
2023-03-07
Business Address
Dr. GRADY EARL JOHNSON DMD
4273 POINT LA VISTA RD S
JACKSONVILLE, FL 32207-6243
Phone number: 904-398-0404
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Mailing Address
Dr. GRADY EARL JOHNSON DMD
4273 POINT LA VISTA RD S
JACKSONVILLE, FL 32207-6243
Phone number: 904-398-0404
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