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1235683889
SUSAN LY JOHNSON
BOERNE, TX
NPI
1235683889
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: TX 8940-TG)
Enumeration Date
2016-08-12
Last Update Date
2018-02-28
Business Address
SUSAN LY JOHNSON O.D.
124 E BANDERA RD STE 403
BOERNE, TX 78006-2849
Phone number: 830-331-8745
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Mailing Address
SUSAN LY JOHNSON O.D.
124 E BANDERA RD STE 403
BOERNE, TX 78006-2849
Phone number: 830-331-8745
Copy
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