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1144859166
JOHANN BRAITHWAITE
PLAINVIEW, NY
NPI
1144859166
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-04-02
Last Update Date
2020-04-02
Business Address
JOHANN BRAITHWAITE
888 OLD COUNTRY RD
PLAINVIEW, NY 11803-4914
Phone number: 305-495-3761
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Mailing Address
JOHANN BRAITHWAITE
888 OLD COUNTRY RD
PLAINVIEW, NY 11803-4914
Phone number:
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