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Individual

MRS. UTENZI MILLER-JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
560 DR MARTIN LUTHER KING BLVD, 7, EAST ORANGE, NJ 07018
(973) 672-4000
Mailing address
560 DR MARTIN LUTHER KING BLVD, EAST ORANGE, NJ 07018
(973) 672-4000

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
NJ3287
NJ

Other

Enumeration date
04/20/2010
Last updated
04/20/2010
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