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1952817850
MELINDA CATHERINE JOHNSON
LAKELAND, FL
NPI
1952817850
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QD1600X Clinic/Center, Developmental Disabilities
Enumeration Date
2017-12-14
Last Update Date
2017-12-14
Business Address
Mrs. MELINDA CATHERINE JOHNSON
2736 W 10TH ST
LAKELAND, FL 33805-3982
Phone number: 863-255-9370
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Mailing Address
Mrs. MELINDA CATHERINE JOHNSON
1106 MELVILLE AVE
LAKELAND, FL 33805-3959
Phone number: 863-255-9370
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