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1811553845
CHARLES MORSE JOHNSON
PORTLAND, ME
NPI
1811553845
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: ME OPT1009)
Enumeration Date
2019-05-15
Last Update Date
2019-06-27
Business Address
CHARLES MORSE JOHNSON
595 BRIGHTON AVE
PORTLAND, ME 04102-2322
Phone number: 207-210-6700
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Mailing Address
CHARLES MORSE JOHNSON
595 BRIGHTON AVE
PORTLAND, ME 04102-2322
Phone number: 207-210-6700
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