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Individual

URE JOHNSON-AGWU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6710 MALL DR, LANHAM, MD 20706-3964
(301) 552-2000
Mailing address
14405 JERICHO PARK RD, BOWIE, MD 20715-3321

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
04/30/2018
Last updated
02/26/2019
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