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1710031463
BRENT WARREN JOHNSON
VANCOUVER, WA
NPI
1710031463
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: WA 1650TX)
Enumeration Date
2007-01-22
Last Update Date
2008-03-15
Business Address
Dr. BRENT WARREN JOHNSON O.D.
700 SE CHKALOV DR SUITE 5
VANCOUVER, WA 98683-5202
Phone number: 360-256-0612
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Mailing Address
Dr. BRENT WARREN JOHNSON O.D.
700 SE CHKALOV DR SUITE 5
VANCOUVER, WA 98683-5202
Phone number: 360-256-0612
Copy
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