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1235751512
JACKLYN A JOHNSON
NEWARK, NJ
NPI
1235751512
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-05-10
Last Update Date
2020-05-10
Business Address
JACKLYN A JOHNSON MD
150 BERGEN ST
NEWARK, NJ 07103-2496
Phone number: 973-902-4119
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Mailing Address
JACKLYN A JOHNSON MD
90 BERGEN ST STE 5200
NEWARK, NJ 07103-2425
Phone number:
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