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1386212009
STACEY A JOHNSON
TROY, NY
NPI
1386212009
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 278273)
Enumeration Date
2021-06-17
Last Update Date
2021-06-17
Business Address
STACEY A JOHNSON
289 OAKWOOD AVE STE C
TROY, NY 12182-1708
Phone number: 518-274-6525
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Mailing Address
STACEY A JOHNSON
289 OAKWOOD AVE STE C
TROY, NY 12182-1708
Phone number: 518-274-6525
Copy
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