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1891439170
IAN JOHNSON
JACKSONVILLE, FL
NPI
1891439170
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: FL 16615)
Enumeration Date
2022-04-23
Last Update Date
2022-04-23
Business Address
IAN JOHNSON
7723 JASPER AVE
JACKSONVILLE, FL 32211-7719
Phone number: 904-725-8044
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Mailing Address
IAN JOHNSON
18 FISHERMANS CIR APT 8
ORMOND BEACH, FL 32174-9140
Phone number: 386-451-9903
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