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1730704032
LATISHA JOHNSON
NEW YORK, NY
NPI
1730704032
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY 3096777)
Enumeration Date
2020-06-11
Last Update Date
2020-10-17
Business Address
LATISHA JOHNSON NP
1 GUSTAVE L. LEVY PLACE
NEW YORK, NY 10029-6574
Phone number: 347-208-3915
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Mailing Address
LATISHA JOHNSON NP
1001 MADISON ST APT 301
HOBOKEN, NJ 07030-6486
Phone number: 347-208-3915
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