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1003265000
CATHERINE JOHNSON
CENTRAL ISLIP, NY
NPI
1003265000
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 325391-1)
Enumeration Date
2016-06-09
Last Update Date
2016-06-09
Business Address
CATHERINE JOHNSON
202 OAKLAND AVE
CENTRAL ISLIP, NY 11722-2109
Phone number: 917-520-9112
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Mailing Address
CATHERINE JOHNSON
202 OAKLAND AVE
CENTRAL ISLIP, NY 11722-2109
Phone number: 917-520-9112
Copy
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