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ASHLEY LYN JOHANSSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
830 EXECUTIVE LN STE 150, ROCKLEDGE, FL 32955-3595
(321) 877-1800
Mailing address
2073 SYKES CREEK DR, MERRITT ISLAND, FL 32953-3066
(321) 604-8718

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9112715
FL

Other

Enumeration date
11/02/2019
Last updated
05/22/2020
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