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1326129420
JEFFREY C JOHNSON
BOISE, ID
NPI
1326129420
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: ID ODP843)
Enumeration Date
2006-10-17
Last Update Date
2007-07-08
Business Address
-- JEFFREY C JOHNSON O.D.
7960 W RIFLEMAN ST SUITE #150
BOISE, ID 83704-9066
Phone number: 208-377-8899
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Mailing Address
-- JEFFREY C JOHNSON O.D.
7960 W RIFLEMAN ST. SUITE #150
BOISE, ID 83704-9066
Phone number: 208-377-8899
Copy
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