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1750124566
JENIESE JOHNSON
LAURELTON, NY
NPI
1750124566
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 336805)
Enumeration Date
2024-06-18
Last Update Date
2024-06-18
Business Address
JENIESE JOHNSON LPN
14443 222ND ST
LAURELTON, NY 11413-3457
Phone number: 718-954-5086
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Mailing Address
JENIESE JOHNSON LPN
14443 222ND ST
LAURELTON, NY 11413-3457
Phone number: 718-954-5086
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