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1063976066
NATIA JOHNSON
PHILADELPHIA, PA
NPI
1063976066
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: PA pn260267l)
Enumeration Date
2019-01-24
Last Update Date
2019-01-24
Business Address
NATIA JOHNSON
4850 STENTON AVE APT 1
PHILADELPHIA, PA 19144-3025
Phone number: 267-388-1806
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Mailing Address
NATIA JOHNSON
4850 STENTON AVE APT 1
PHILADELPHIA, PA 19144-3025
Phone number: 267-388-1806
Copy
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