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1992368500
ALISA JOHNSON
BUFFALO, NY
NPI
1992368500
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-04-18
Last Update Date
2019-08-09
Business Address
ALISA JOHNSON
462 GRIDER ST
BUFFALO, NY 14215-3021
Phone number: 716-898-3189
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Mailing Address
ALISA JOHNSON
ECMC 462 GRIDER ST
BUFFALO, NY 14215
Phone number:
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