ANTOINE JOHNSON

PHILADELPHIA, PA
NPI1316545379
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
(Licence: PA  852373)
Enumeration Date2020-10-13
Last Update Date2020-10-16
Business Address
ANTOINE JOHNSON
846 N 63RD ST
PHILADELPHIA, PA 19151-3443
Phone number: 121-538-8533
Mailing Address
ANTOINE JOHNSON
846 N 63RD ST
PHILADELPHIA, PA 19151-3443
Phone number: 121-538-8533
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