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1447396460
GREGORY CHARLES JOHNSON
PUYALLUP, WA
NPI
1447396460
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: WA 3116TX)
Enumeration Date
2007-01-29
Last Update Date
2007-07-08
Business Address
-- GREGORY CHARLES JOHNSON O.D.
10202 149TH ST E # 101
PUYALLUP, WA 98374-3746
Phone number: 253-841-2020
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Mailing Address
-- GREGORY CHARLES JOHNSON O.D.
10202 149TH ST E # 101
PUYALLUP, WA 98374-3746
Phone number: 253-841-2020
Copy
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