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1205826179
TIMOTHY J. JOHNSON
LOS ALAMOS, NM
NPI
1205826179
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: NM 458)
Enumeration Date
2005-10-24
Last Update Date
2008-04-20
Business Address
-- TIMOTHY J. JOHNSON O.D.
1623 CENTRAL AVE
LOS ALAMOS, NM 87544-3018
Phone number: 505-662-5444
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Mailing Address
-- TIMOTHY J. JOHNSON O.D.
8801 HORIZON BLVD NE SUITE 360
ALBUQUERQUE, NM 87113-1533
Phone number: 505-828-4923
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