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Individual

ANGELA R JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AUD

Contact information

Practice address
14546 OLD SAINT AUGUSTINE RD STE 301, JACKSONVILLE, FL 32258-5472
(904) 202-6410
(904) 390-7382
Mailing address
PO BOX 41516, JACKSONVILLE, FL 32203-1516
(904) 202-5111
(904) 391-5836

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY 1876
FL

Other

Enumeration date
07/21/2014
Last updated
12/28/2017
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