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1972906055
THERA ELESISUS JOHNSON
MIAMI GARDENS, FL
NPI
1972906055
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225800000X Recreation Therapist
Enumeration Date
2014-10-02
Last Update Date
2014-10-02
Business Address
Miss THERA ELESISUS JOHNSON CTRS
2031 NW 184TH ST
MIAMI GARDENS, FL 33056-2753
Phone number: 305-502-8923
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Mailing Address
Miss THERA ELESISUS JOHNSON CTRS
2031 NW 184TH ST
MIAMI GARDENS, FL 33056-2753
Phone number: 305-502-8923
Copy
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