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Individual

CRAIG ALTON JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MBA

Contact information

Practice address
3238 S LECANTO HWY, LECANTO, FL 34461-9025
(352) 628-5020
(352) 628-2016
Mailing address
5664 SW 60TH AVE, OCALA, FL 34474-5677
(352) 291-5555
(352) 291-9536

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
07/13/2012
Last updated
07/13/2012
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