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1972550721
JOHANNA DUSSAN
PEMBROKE PINES, FL
NPI
1972550721
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT22573)
Enumeration Date
2006-05-27
Last Update Date
2017-04-13
Business Address
-- JOHANNA DUSSAN PT
12596 PINES BLVD
PEMBROKE PINES, FL 33027-1766
Phone number: 954-653-3625
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Mailing Address
-- JOHANNA DUSSAN PT
2807 NW 84TH WAY
PEMBROKE PINES, FL 33024-5280
Phone number: 954-326-0167
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