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1316764863
KENYATTA JOHNSON
STATEN ISLAND, NY
NPI
1316764863
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 351207)
Enumeration Date
2024-09-25
Last Update Date
2024-09-25
Business Address
KENYATTA JOHNSON
254A LAKE AVE
STATEN ISLAND, NY 10303-2602
Phone number: 718-502-7608
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Mailing Address
KENYATTA JOHNSON
254A LAKE AVE
STATEN ISLAND, NY 10303-2602
Phone number: 718-502-7608
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