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1720673171
MICCAL A. SCOTT-LYEW
MONTCLAIR, NJ
NPI
1720673171
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: NJ 26NJO1148500)
Enumeration Date
2021-03-08
Last Update Date
2023-07-07
Business Address
MICCAL A. SCOTT-LYEW AGPC-NP
28 VALLEY RD # 148
MONTCLAIR, NJ 07042-2709
Phone number: 973-559-4600
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Mailing Address
MICCAL A. SCOTT-LYEW AGPC-NP
34 MOUNTAIN BLVD STE 203
WARREN, NJ 07059-2640
Phone number: 908-574-1267
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