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1003032970
DELESIE PETRIC JOHNSON
SAN ANTONIO, TX
NPI
1003032970
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Professional Name
DELESIE PETRIC JOHNSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: TX 4493T)
Enumeration Date
2007-04-18
Last Update Date
2007-07-08
Business Address
Dr. DELESIE PETRIC JOHNSON O.D.
9307 FOXGROVE WAY
SAN ANTONIO, TX 78251-4107
Phone number: 210-523-5276
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Mailing Address
Dr. DELESIE PETRIC JOHNSON O.D.
9307 FOXGROVE WAY
SAN ANTONIO, TX 78251-4107
Phone number: 210-523-5276
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