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1336697895
JOHANNA KUBICHEK
WEST ORANGE, NJ
NPI
1336697895
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NJ 25MP00407800)
Enumeration Date
2016-09-13
Last Update Date
2021-05-12
Business Address
JOHANNA KUBICHEK
456 PROSPECT AVE
WEST ORANGE, NJ 07052-4112
Phone number: 973-731-6767
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Mailing Address
JOHANNA KUBICHEK
328 W SAINT GEORGES AVE
LINDEN, NJ 07036-5638
Phone number: 908-925-2273
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