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1891037594
TERRY L JOHNSON
LAKELAND, FL
NPI
1891037594
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: FL ARNP 3183002)
Enumeration Date
2013-03-20
Last Update Date
2013-10-29
Business Address
-- TERRY L JOHNSON CRNA
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805-3019
Phone number: 863-680-7000
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Mailing Address
-- TERRY L JOHNSON CRNA
PO BOX 95004
LAKELAND, FL 33804-5004
Phone number: 863-680-7000
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