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Organization

BRAND NEW DAY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KEVIN EUGENE JOHNSON OD (OWNER)
(410) 271-6747
Entity
Organization

Contact information

Practice address
313 E COMMERCIAL AVE UNIT C, LOWELL, IN 46356-1707
(410) 271-6747
Mailing address
313 E COMMERCIAL AVE UNIT C, LOWELL, IN 46356-1707
(410) 271-6747

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Enumeration date
08/03/2022
Last updated
08/03/2022
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