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1992938757
TRACY LYNN JOHNSON
WILMINGTON, NC
NPI
1992938757
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
(Licence: NC CFts0582)
Enumeration Date
2009-08-27
Last Update Date
2009-08-27
Business Address
Mrs. TRACY LYNN JOHNSON CFts
2309 S 17TH ST STE 100
WILMINGTON, NC 28401-8006
Phone number: 910-392-5806
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Mailing Address
Mrs. TRACY LYNN JOHNSON CFts
8504 LAKEVIEW DR
WILMINGTON, NC 28412-3397
Phone number: 910-599-7077
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