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Individual
DR. JESSICA LEE JOHNSON
Active
Individual
DR. JESSICA LEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS40138
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS40138
PHARMACIST LICENSE
FL
Enumeration date
01/21/2013
Last updated
01/21/2013
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