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1982343612
MITCHELL JOHNSON
PONTE VEDRA, FL
NPI
1982343612
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT38790)
Enumeration Date
2022-06-01
Last Update Date
2023-07-25
Business Address
MITCHELL JOHNSON
816 A1A N STE 307
PONTE VEDRA, FL 32082-3219
Phone number: 904-543-4021
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Mailing Address
MITCHELL JOHNSON
3901 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216-4312
Phone number:
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