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1548204191
MICHAEL JEROME JOHNSON
WATERTOWN, SD
NPI
1548204191
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: SD 503)
Additional Taxonomies
152W00000X Optometrist
(Licence: MN 2428)
Enumeration Date
2006-06-15
Last Update Date
2007-07-08
Business Address
Dr. MICHAEL JEROME JOHNSON O.D.
700 9TH AVE S
WATERTOWN, SD 57201
Phone number: 605-882-9424
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Mailing Address
Dr. MICHAEL JEROME JOHNSON O.D.
1511 HILLCREST DR N
WATERTOWN, SD 57201-5747
Phone number: 605-886-6696
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