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Individual

ALANA JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
111 LAKE HOLLINGSWORTH DR, BOX 4980, LAKELAND, FL 33801-5607
(239) 595-9118
Mailing address
111 LAKE HOLLINGSWORTH DR, BOX 4980, LAKELAND, FL 33801-5607
(239) 595-9118

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
10/14/2015
Last updated
10/14/2015
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