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1386694917
ELLYN VICTORIA JOHNSON
ADVANCE, NC
NPI
1386694917
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: NC 1813)
Enumeration Date
2006-05-12
Last Update Date
2010-09-29
Business Address
Dr. ELLYN VICTORIA JOHNSON OD
5380 US HIGHWAY 158 SUITE 100
ADVANCE, NC 27006-6907
Phone number: 336-940-2015
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Mailing Address
Dr. ELLYN VICTORIA JOHNSON OD
5380 US HIGHWAY 158 SUITE 100
ADVANCE, NC 27006-6907
Phone number: 336-940-2015
Copy
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