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1487192696
KELLIE JOHNSON
BRONX, NY
NPI
1487192696
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 302542)
Enumeration Date
2017-02-08
Last Update Date
2017-02-08
Business Address
-- KELLIE JOHNSON
1910 ARTHUR AVE
BRONX, NY 10457-6305
Phone number: 718-466-8961
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Mailing Address
-- KELLIE JOHNSON
1910 ARTHUR AVE
BRONX, NY 10457-6305
Phone number: 718-466-8961
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