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1700219060
CANDICE JOHNSON
MOUNT VERNON, NY
NPI
1700219060
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 3093871)
Enumeration Date
2013-08-09
Last Update Date
2013-08-09
Business Address
-- CANDICE JOHNSON
2 ADAMS ST
MOUNT VERNON, NY 10550-3504
Phone number: 347-866-6643
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Mailing Address
-- CANDICE JOHNSON
2 ADAMS ST
MOUNT VERNON, NY 10550-3504
Phone number: 347-866-6643
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