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1114278454
ALTHEA JOHNSON
VALLEY STREAM, NY
NPI
1114278454
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
Enumeration Date
2012-09-26
Last Update Date
2012-09-26
Business Address
-- ALTHEA JOHNSON
674 COLFAX PL
VALLEY STREAM, NY 11581-3006
Phone number: 516-295-2525
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Mailing Address
-- ALTHEA JOHNSON
674 COLFAX PL
VALLEY STREAM, NY 11581-3006
Phone number: 516-295-2525
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