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Individual

DR. JANCY F UTOH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2005-01936
NC
208000000X
Pediatrics Physician
SC28391
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
283912
SC
05
5902894
NC
Enumeration date
08/13/2006
Last updated
06/12/2020
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