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1235189143
DALE S. JOHNSON
LONGMONT, CO
NPI
1235189143
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207W00000X Ophthalmology
(Licence: CO 18358)
Enumeration Date
2006-05-11
Last Update Date
2010-06-24
Business Address
Dr. DALE S. JOHNSON M.D.
1319 VIVIAN ST
LONGMONT, CO 80501-3216
Phone number: 303-772-3611
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Mailing Address
Dr. DALE S. JOHNSON M.D.
1319 VIVIAN ST
LONGMONT, CO 80501-3216
Phone number: 303-772-3611
Copy
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