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1417000282
THEODORE LEROY JOHNSON
LAWRENCEVILLE, NJ
NPI
1417000282
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
231H00000X Audiologist
(Licence: NJ 336)
Enumeration Date
2007-01-18
Last Update Date
2007-07-08
Business Address
Dr. THEODORE LEROY JOHNSON Au.D.
177 FRANKLIN CORNER RD STE. 1B
LAWRENCEVILLE, NJ 08648-2548
Phone number: 609-895-1666
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Mailing Address
Dr. THEODORE LEROY JOHNSON Au.D.
6 WILSON WAY
DELANCO, NJ 08075-5257
Phone number: 609-895-1666
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