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1396020053
THERESA ANN JOHNSON
MEDFORD, NY
NPI
1396020053
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 474328-1)
Enumeration Date
2011-10-13
Last Update Date
2011-10-13
Business Address
Mrs. THERESA ANN JOHNSON RN
1 SCOUTING BLVD.
MEDFORD, NY 11763
Phone number: 631-297-3210
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Mailing Address
Mrs. THERESA ANN JOHNSON RN
99 HOLLYWOOD DR
SMITHTOWN, NY 11787
Phone number:
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