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1720396732
SERENA DENISE JOHNSON
PHILADELPHIA, PA
NPI
1720396732
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: PA PT006315L)
Enumeration Date
2010-09-24
Last Update Date
2010-09-24
Business Address
Ms. SERENA DENISE JOHNSON LPT
5151A WALNUT STREET
PHILADELPHIA, PA 19139
Phone number: 610-733-7539
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Mailing Address
Ms. SERENA DENISE JOHNSON LPT
3900 FORD RD 14A
PHILADELPHIA, PA 19131-2039
Phone number: 610-733-7539
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