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Individual

DEONTA L JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2220 LAWRENCE ST APT B1, DETROIT, MI 48206-1568
(313) 551-1610
Mailing address
15401 GILCHRIST ST, DETROIT, MI 48227-1574
(313) 624-5168

Taxonomy

Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary

Other

Enumeration date
06/02/2025
Last updated
06/02/2025
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