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1013118223
CAROL M JOHNSON
BRONX, NY
NPI
1013118223
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NY F332519)
Enumeration Date
2007-05-29
Last Update Date
2024-12-06
Business Address
Miss CAROL M JOHNSON NP
545 E 142ND ST
BRONX, NY 10454-2110
Phone number: 718-240-0513
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Mailing Address
Miss CAROL M JOHNSON NP
17505 139TH RD
JAMAICA, NY 11434-4535
Phone number: 646-334-7600
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