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Individual
DR. JOHN OLAF JOHANSSON
Active
Individual
DR. JOHN OLAF JOHANSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD PHD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A46646
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A466460
BLUE SHIELD
CA
05
—
00A466460
—
CA
Enumeration date
07/10/2006
Last updated
03/11/2019
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