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Individual

CYNTHIA ELAINE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
174 WILLOW RD, OCALA, FL 34472-8679
(352) 680-0909
(352) 680-0909
Mailing address
174 WILLOW RD, OCALA, FL 34472-8679
(352) 680-0909
(352) 680-0909

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
05/02/2008
Last updated
05/02/2008
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