BRENT DANIEL JOHNSON

BLUE EARTH, MN
NPI1689667875
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: MN  2195)
Enumeration Date2005-08-24
Last Update Date2013-02-08
Business Address
-- BRENT DANIEL JOHNSON OD
435 S GROVE ST SUITE 2
BLUE EARTH, MN 56013-2604
Phone number: 507-526-2222
Mailing Address
-- BRENT DANIEL JOHNSON OD
PO BOX 36
BLUE EARTH, MN 56013-0036
Phone number: 507-526-2222
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