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1396035002
VIVIAN A JOHNSON
MEDFORD, NY
NPI
1396035002
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 448053-1)
Enumeration Date
2011-04-14
Last Update Date
2011-04-14
Business Address
-- VIVIAN A JOHNSON RN
43 LOCUST AVE S
MEDFORD, NY 11763-1664
Phone number: 631-879-5780
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Mailing Address
-- VIVIAN A JOHNSON RN
43 LOCUST AVE S
MEDFORD, NY 11763-1664
Phone number: 631-879-5780
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