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Individual

MS. MIYUKI MAUREEN JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
432 BOWHUNTER DR, BLYTHEWOOD, SC 29016-9257
(803) 878-0968
Mailing address
432 BOWHUNTER DR, BLYTHEWOOD, SC 29016-9257
(803) 878-0968

Taxonomy

Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
SC

Other

Enumeration date
04/15/2024
Last updated
04/15/2024
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