LANE JOHNSON

TRAVIS AFB, CA
NPI1639623366
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: OH  30.24851)
Enumeration Date2016-08-11
Last Update Date2016-08-11
Business Address
LANE JOHNSON
151 BODIN CIR
TRAVIS AFB, CA 94535-1801
Phone number: 207-939-4284
Mailing Address
LANE JOHNSON
151 BODIN CIR
TRAVIS AFB, CA 94535-1801
Phone number: 207-939-4284
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