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1033215488
LARISA MARIE JOHNSON-TONG
SACRAMENTO, CA
NPI
1033215488
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Former Name
LARISA MARIE JOHNSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: CA 12038T)
Enumeration Date
2006-09-15
Last Update Date
2015-01-28
Business Address
Dr. LARISA MARIE JOHNSON-TONG O.D.
4860 Y ST SUITE 2400
SACRAMENTO, CA 95817-2307
Phone number: 916-734-4641
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Mailing Address
Dr. LARISA MARIE JOHNSON-TONG O.D.
4860 Y ST SUITE 2400
SACRAMENTO, CA 95817-2307
Phone number: 916-734-4641
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