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1710600077
MINI JOHNSON
DIX HILLS, NY
NPI
1710600077
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent
(Licence: NY 781032-01)
Enumeration Date
2022-09-22
Last Update Date
2022-09-22
Business Address
MINI JOHNSON
197 HALF HOLLOW RD
DIX HILLS, NY 11746-5859
Phone number: 631-370-1694
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Mailing Address
MINI JOHNSON
197 HALF HOLLOW RD
DIX HILLS, NY 11746-5861
Phone number: 631-370-1700
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