Individual
MRS. DEBORAH JEAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPN
Contact information
Practice address
324 UNIVERSITY AVE, SYRACUSE, NY 13210-1811
(315) 472-4471
Mailing address
PO BOX 664, BREWERTON, NY 13029-0664
(315) 668-8176
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
359751
NY
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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