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1164772471
TAMARA JOHNSON
BRONX, NY
NPI
1164772471
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 309134)
Enumeration Date
2012-09-13
Last Update Date
2012-09-13
Business Address
-- TAMARA JOHNSON LPN
2054 TILLOTSON AVE
BRONX, NY 10475-1560
Phone number: 718-671-2100
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Mailing Address
-- TAMARA JOHNSON LPN
2054 TILLOTSON AVE
BRONX, NY 10475-1560
Phone number: 718-671-2100
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