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Individual

JAMES JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2901 W BUSCH BLVD, SUITE 305, TAMPA, FL 33618-4523
(813) 443-5191
(813) 443-5192
Mailing address
2901 W BUSCH BLVD, TAMPA, FL 33618-4523
(813) 443-5191
(813) 443-5192

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA38866
FL

Other

Enumeration date
09/30/2009
Last updated
09/30/2009
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