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Individual
STEPHEN PAUL JOHNSON
Active
Individual
STEPHEN PAUL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2195622
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20923
AANA RE-CERT
FL
01
—
2195622
LICENSE
FL
01
—
G1326
BLUE CROSS
FL
Enumeration date
07/07/2006
Last updated
12/13/2007
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