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1548604150
GINA JOHNSEN
STATEN ISLAND, NY
NPI
1548604150
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: NY 1174257)
Enumeration Date
2013-04-25
Last Update Date
2013-04-25
Business Address
Mrs. GINA JOHNSEN
94 MONTICELLO TER
STATEN ISLAND, NY 10308-2836
Phone number: 347-728-5747
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Mailing Address
Mrs. GINA JOHNSEN
94 MONTICELLO TER
STATEN ISLAND, NY 10308-2836
Phone number: 347-728-5747
Copy
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