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1386106573
LEISA T JOHNSON
FOREST HILLS, NY
NPI
1386106573
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: NY 1219043)
Enumeration Date
2019-04-05
Last Update Date
2019-04-05
Business Address
LEISA T JOHNSON
10818 QUEENS BLVD FL 5
FOREST HILLS, NY 11375-4748
Phone number: 212-804-7659
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Mailing Address
LEISA T JOHNSON
10818 QUEENS BLVD FL 5
FOREST HILLS, NY 11375-4748
Phone number: 212-804-7659
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