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1518339951
BENJAMIN JOHNSON
UTICA, NY
NPI
1518339951
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 23 019290)
Enumeration Date
2015-10-26
Last Update Date
2015-10-26
Business Address
Mr. BENJAMIN JOHNSON
2211 GENESEE ST
UTICA, NY 13501-5930
Phone number: 315-793-1198
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Mailing Address
Mr. BENJAMIN JOHNSON
201 MARION ST
HERKIMER, NY 13350-2111
Phone number: 315-868-2063
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