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Individual
KIMBERLY GREENWOOD JOHNSON
Active
Individual
KIMBERLY GREENWOOD JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUDIOLOGIST
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY1591
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0024601-00
—
FL
05
—
694050310A
—
GA
Enumeration date
05/27/2010
Last updated
08/30/2011
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