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1639908882
NICOLE NYESHA JOHNSON
PHILADELPHIA, PA
NPI
1639908882
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: PA PN295419)
Enumeration Date
2024-07-27
Last Update Date
2024-07-27
Business Address
NICOLE NYESHA JOHNSON LPN
514 S 57TH ST # A
PHILADELPHIA, PA 19143-1928
Phone number: 215-617-5996
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Mailing Address
NICOLE NYESHA JOHNSON LPN
514 S 57TH ST # A
PHILADELPHIA, PA 19143-1928
Phone number: 215-617-5996
Copy
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