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1497136139
SAMUEL LEE JOHANSEN
GREENWOOD, SC
NPI
1497136139
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: SC 1872)
Enumeration Date
2015-06-17
Last Update Date
2019-03-27
Business Address
Dr. SAMUEL LEE JOHANSEN OD
214 WALLER AVE
GREENWOOD, SC 29646-2747
Phone number: 864-992-6386
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Mailing Address
Dr. SAMUEL LEE JOHANSEN OD
300 BYPASS 25 NE
GREENWOOD, SC 29646
Phone number: 864-992-6386
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