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1649472507
TYRECA JOHNSON
PLYMOUTH MEETING, PA
NPI
1649472507
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: IN 48-01-06-03370)
Enumeration Date
2007-06-04
Last Update Date
2007-07-08
Business Address
-- TYRECA JOHNSON CNA
2250 HICKORY RD SUITE 240
PLYMOUTH MEETING, PA 19462-1047
Phone number: 610-834-1122
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Mailing Address
-- TYRECA JOHNSON CNA
8825 FOUNTAINVIEW DR APT 710
INDIANAPOLIS, IN 46226-4145
Phone number:
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