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Individual

MRS. BRENDA WILLIS JOHNS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.M.T.

Contact information

Practice address
2177 KINGSLEY AVE, SUITE 11, ORANGE PARK, FL 32073-5199
(904) 298-7665
(904) 278-8060
Mailing address
1867 NOLAN RD, MIDDLEBURG, FL 32068-3071
(904) 298-7665
(904) 278-8060

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA26981
FL

Other

Enumeration date
07/04/2006
Last updated
08/25/2009
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