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1184076101
MAKEIRA JOHNSON
BRONX, NY
NPI
1184076101
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 304415-1)
Enumeration Date
2016-07-02
Last Update Date
2016-12-13
Business Address
-- MAKEIRA JOHNSON
3713 BARNES AVE
BRONX, NY 10467-5807
Phone number: 123-456-7812
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Mailing Address
-- MAKEIRA JOHNSON
3713 BARNES AVE
BRONX, NY 10467-5807
Phone number:
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