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1164076949
JOHNSON LY
PLANO, TX
NPI
1164076949
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: TX 9736)
Enumeration Date
2019-07-30
Last Update Date
2024-09-12
Business Address
JOHNSON LY OD
2313 W PARKER RD
PLANO, TX 75023-7839
Phone number: 972-612-2015
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Mailing Address
JOHNSON LY OD
8614 WESTWOOD CENTER DR FL 9
VIENNA, VA 22182-2442
Phone number: 703-847-8899
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