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Individual

SHELBI LYNN JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2700 S BLAIR STONE RD STE D, TALLAHASSEE, FL 32301-5927
(850) 877-4313
Mailing address
234 N MANNING ST, MOULTRIE, GA 31768-2100
(229) 375-1011

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
28017
FL

Other

Enumeration date
01/25/2021
Last updated
01/25/2021
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