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1245517754
HARVEST JOHNSON
SYRACUSE, NY
NPI
1245517754
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 260433-1)
Enumeration Date
2011-11-11
Last Update Date
2011-11-11
Business Address
HARVEST JOHNSON LPN
427 ROE AVE
SYRACUSE, NY 13210-3741
Phone number: 315-432-5636
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Mailing Address
HARVEST JOHNSON LPN
427 ROE AVE
SYRACUSE, NY 13210-3741
Phone number: 315-432-5636
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