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1861698292
HENRIETTA JOHNSON
LAKELAND, FL
NPI
1861698292
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2007-06-22
Last Update Date
2007-07-08
Business Address
-- HENRIETTA JOHNSON
1835 N GILMORE AVENUE PEACE RIVER CENTER
LAKELAND, FL 33805
Phone number: 863-248-3300
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Mailing Address
-- HENRIETTA JOHNSON
PO BOX 1559 PEACE RIVER CENTER
BARTOW, FL 33831-1559
Phone number: 863-519-0575
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