JEREL DEAN JOHNSON

COOK, MN
NPI1750421160
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy156FX1800X Technician/Technologist, Optician
(Licence: MN  19618)
Enumeration Date2007-02-07
Last Update Date2007-07-08
Business Address
-- JEREL DEAN JOHNSON ABOC Optician
23 EAST VERMILION AVE
COOK, MN 55723-0127
Phone number: 218-666-2879
Mailing Address
-- JEREL DEAN JOHNSON ABOC Optician
PO BOX 127 23 EAST VERMILION AVE
COOK, MN 55723-0127
Phone number: 218-666-2879