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1285205344
NICOLE LEE JOHNSON
LIVERPOOL, NY
NPI
1285205344
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 347749)
Enumeration Date
2021-07-08
Last Update Date
2021-07-08
Business Address
Mrs. NICOLE LEE JOHNSON FNP
7375 OSWEGO RD
LIVERPOOL, NY 13090-3717
Phone number: 315-291-0064
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Mailing Address
Mrs. NICOLE LEE JOHNSON FNP
8581 COBALT DR
CICERO, NY 13039-8977
Phone number: 607-207-2372
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