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Licenses
Medical Practice
Florida
515639
WIDMARK D JOHNSON
Medical Practice at 139 St, New York, NY
License number
Florida 515639
Issued Date
Oct 19, 2006
Effective Date
Jul 6, 2015
Expiration Date
Dec 1, 2014
Category
Health Care
Type
Emergency Medical Technician
Address
Address
640 W 139Th St APT #58, New York, NY 10031
Phone
(201) 702-4698
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