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1689305435
ANDREA JOHNSON
MEDFORD, NY
NPI
1689305435
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 343504)
Enumeration Date
2022-06-22
Last Update Date
2022-06-22
Business Address
ANDREA JOHNSON
1105 LAKE DR
MEDFORD, NY 11763-4620
Phone number: 631-626-2537
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Mailing Address
ANDREA JOHNSON
1105 LAKE DR
MEDFORD, NY 11763-4620
Phone number:
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