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1033148135
DANA ALAN GRIST
JOHNSON CITY, TN
NPI
1033148135
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: TN ODT675)
Enumeration Date
2006-07-01
Last Update Date
2012-07-18
Business Address
DR. DANA ALAN GRIST O.D.
1207 N ROAN ST
JOHNSON CITY, TN 37601-3974
Phone number: 423-928-1010
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Mailing Address
DR. DANA ALAN GRIST O.D.
1207 N ROAN ST
JOHNSON CITY, TN 37601-3974
Phone number: 423-928-1010
Copy
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