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1275551848
GARY E JOHNSON
FARGO, ND
NPI
1275551848
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152WC0802X Optometrist, Corneal and Contact Management
(Licence: ND 607)
Enumeration Date
2006-07-18
Last Update Date
2019-08-28
Business Address
GARY E JOHNSON OD
3902 13TH AVE S STE 406
FARGO, ND 58103-3357
Phone number: 701-277-9555
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Mailing Address
GARY E JOHNSON OD
5092 MARION ST S
FARGO, ND 58104-6050
Phone number: 701-640-8773
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