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Organization
CLAUDETTE JOHNSON
Active
Organization
CLAUDETTE JOHNSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDETTE JOHNSON (PROVIDER)
(813) 513-4616
Entity
Organization
Contact information
Practice address
4617 HIDDEN SHADDOW DT, TAMPA, FL 33614
(813) 513-4616
Mailing address
4617 HIDDEN SHADOW DR, TAMPA, FL 33614-1476
(813) 513-4616
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
311ZA0620X
FL
Other
Enumeration date
07/24/2015
Last updated
07/24/2015
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