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1740601319
CRYSTAL RENEE JOHNSON
BROOKLYN, NY
NPI
1740601319
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Former Name
CRYSTAL RENEE PITTMAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 278560)
Enumeration Date
2013-12-26
Last Update Date
2013-12-26
Business Address
Mrs. CRYSTAL RENEE JOHNSON LPN
85 BARTLETT STREET WHITE GLOVE COMMUNITY CARE, INC
BROOKLYN, NY 11206
Phone number: 718-387-8181
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Mailing Address
Mrs. CRYSTAL RENEE JOHNSON LPN
254 MOUNT PROSPECT AVE. APT. 405
NEWARK, NJ 07104
Phone number: 252-676-2575
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