GAVIN LANE JOHNSON

BRIGHAM CITY, UT
NPI1194340745
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: UT  12753476-9934)
Enumeration Date2020-06-10
Last Update Date2024-01-11
Business Address
Dr. GAVIN LANE JOHNSON OD
34 S MAIN ST
BRIGHAM CITY, UT 84302-2527
Phone number: 435-723-2485
Mailing Address
Dr. GAVIN LANE JOHNSON OD
110 E 750 N
MANTUA, UT 84324-4343
Phone number: 435-730-3998
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