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1366654899
BRUCE GORDON JOHNSON
GILLETTE, WY
NPI
1366654899
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: WY 116T)
Enumeration Date
2007-05-04
Last Update Date
2007-07-08
Business Address
BRUCE GORDON JOHNSON O.D.
2610 SOUTH DOUGLAS HIGHWAY SUITE 190
GILLETTE, WY 82718
Phone number: 307-682-7861
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Mailing Address
BRUCE GORDON JOHNSON O.D.
839 ELMA STREET
CASPER, WY 82601
Phone number: 307-377-6659
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