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1992584320
KEITH JOHNSON
PHILADELPHIA, PA
NPI
1992584320
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
253Z00000X In Home Supportive Care
(Licence: PA 55133601)
Enumeration Date
2023-09-25
Last Update Date
2023-09-25
Business Address
Mr. KEITH JOHNSON
4946 PARKSIDE AVE STE 106
PHILADELPHIA, PA 19131-4746
Phone number: 267-603-4989
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Mailing Address
Mr. KEITH JOHNSON
7935 TEMPLE RD
PHILADELPHIA, PA 19150-2115
Phone number: 215-740-8854
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