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1902370281
LARRY D JOHNSON
GAINESVILLE, FL
NPI
1902370281
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-01-19
Last Update Date
2019-12-16
Business Address
LARRY D JOHNSON
4300 SW 13TH ST
GAINESVILLE, FL 32608-4006
Phone number: 352-374-5600
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Mailing Address
LARRY D JOHNSON
223 SE 14TH LN
GAINESVILLE, FL 32601-7915
Phone number: 352-226-5890
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