HARVEST JOHNSON

SYRACUSE, NY
NPI1245517754
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  260433-1)
Enumeration Date2011-11-11
Last Update Date2011-11-11
Business Address
HARVEST JOHNSON LPN
427 ROE AVE
SYRACUSE, NY 13210-3741
Phone number: 315-432-5636
Mailing Address
HARVEST JOHNSON LPN
427 ROE AVE
SYRACUSE, NY 13210-3741
Phone number: 315-432-5636
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