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1023099512
AMELIA M JOHNSON
SPARTA, TN
NPI
1023099512
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Primary Taxonomy
156FX1800X Technician/Technologist Optician
(Licence: TN DPO1192)
Enumeration Date
2005-11-10
Last Update Date
2007-07-09
Business Address
AMELIA M JOHNSON DPO
25 N MAIN ST SUITE A
SPARTA, TN 38583-2055
Phone number: 931-836-2235
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Mailing Address
AMELIA M JOHNSON DPO
25 N MAIN ST SUITE A
SPARTA, TN 38583-2055
Phone number: 931-836-2235
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