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1902104003
ERICK JOHNSON
ELLENSBURG, WA
NPI
1902104003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: TN 390200000X)
Enumeration Date
2011-03-14
Last Update Date
2020-12-28
Business Address
ERICK JOHNSON O.D.
2201 W DOLARWAY RD STE 2
ELLENSBURG, WA 98926-8228
Phone number: 509-925-1000
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Mailing Address
ERICK JOHNSON O.D.
2201 W DOLARWAY RD STE 2
ELLENSBURG, WA 98926-8228
Phone number: 509-925-1000
Copy
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