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1992154710
ALZA THERESA JOHNSON
SYRACUSE, NY
NPI
1992154710
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: NY 299068-1)
Enumeration Date
2016-06-13
Last Update Date
2016-06-13
Business Address
Mrs. ALZA THERESA JOHNSON
139 CLYDE AVE
SYRACUSE, NY 13207
Phone number: 315-200-7203
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Mailing Address
Mrs. ALZA THERESA JOHNSON
139 CLYDE AVE
SYRACUSE, NY 13207
Phone number: 315-200-7203
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