LYDIA ALICE JOHNSON

BROCKPORT, NY
NPI1235859778
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NY  004486)
Enumeration Date2022-09-02
Last Update Date2022-09-02
Business Address
LYDIA ALICE JOHNSON
350 NEW CAMPUS DR
BROCKPORT, NY 14420-2914
Phone number: 585-395-5374
Mailing Address
LYDIA ALICE JOHNSON
636 PARK HILL RD
ERIN, NY 14838-9755
Phone number:
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