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1932835717
JOHNNY CLARK MORAES
DAVIE, FL
NPI
1932835717
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-07-25
Last Update Date
2022-07-25
Business Address
DR. JOHNNY CLARK MORAES
4199 SW 67TH AVE APT 201
DAVIE, FL 33314-3283
Phone number: 954-658-4561
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Mailing Address
DR. JOHNNY CLARK MORAES
4199 SW 67TH AVE APT 201
DAVIE, FL 33314-3283
Phone number: 954-658-4561
Copy
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