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1821023979
ROGER DEAN JOHNSON
WORTHINGTON, MN
NPI
1821023979
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MN 1545)
Enumeration Date
2006-07-11
Last Update Date
2015-03-03
Business Address
-- ROGER DEAN JOHNSON O.D.
702 10TH ST
WORTHINGTON, MN 56187-2767
Phone number: 507-376-5535
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Mailing Address
-- ROGER DEAN JOHNSON O.D.
702 10TH ST
WORTHINGTON, MN 56187-2767
Phone number: 507-376-5535
Copy
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