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1972723690
MARY JEAN JOHNSON
FORT MYERS, FL
NPI
1972723690
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT1457)
Enumeration Date
2007-04-26
Last Update Date
2007-07-08
Business Address
-- MARY JEAN JOHNSON RPT
15651 S. MALLARD LANE
FORT MYERS, FL 33913
Phone number: 239-691-1756
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Mailing Address
-- MARY JEAN JOHNSON RPT
PO BOX 331
ESTERO, FL 33928-0331
Phone number: 239-691-1756
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