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1750421160
JEREL DEAN JOHNSON
COOK, MN
NPI
1750421160
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
156FX1800X Technician/Technologist Optician
(Licence: MN 19618)
Enumeration Date
2007-02-07
Last Update Date
2007-07-08
Business Address
JEREL DEAN JOHNSON ABOC OPTICIAN
23 EAST VERMILION AVE
COOK, MN 55723-0127
Phone number: 218-666-2879
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Mailing Address
JEREL DEAN JOHNSON ABOC OPTICIAN
PO BOX 127 23 EAST VERMILION AVE
COOK, MN 55723-0127
Phone number: 218-666-2879
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