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1912194051
MICHELLE JOHNSON
PORT ST LUCIE, FL
NPI
1912194051
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: FL PN 5166406)
Enumeration Date
2007-10-03
Last Update Date
2007-10-03
Business Address
-- MICHELLE JOHNSON
5532 NW E TORINO PKWY APT 212
PORT ST LUCIE, FL 34986-4622
Phone number: 772-626-7172
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Mailing Address
-- MICHELLE JOHNSON
5532 NW E TORINO PKWY APT 212
PORT ST LUCIE, FL 34986-4622
Phone number:
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