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1437615549
MARY BOLADALEJOHNSON
SPRINGFIELD GARDENS, NY
NPI
1437615549
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 333484)
Enumeration Date
2019-02-13
Last Update Date
2019-02-13
Business Address
MARY BOLADALEJOHNSON
14711 223RD ST
SPRINGFIELD GARDENS, NY 11413-4143
Phone number: 917-935-3719
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Mailing Address
MARY BOLADALEJOHNSON
14711 223RD ST
SPRINGFIELD GARDENS, NY 11413-4143
Phone number: 917-935-3719
Copy
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