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Individual

MR. JOHN J YOHANNES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CALIFORNIA LICENSE D

Contact information

Practice address
114 WEST MAIN STREET, SUITE D, VISALIA, CA 93291
(559) 734-2020
(559) 734-5051
Mailing address
114 WEST MAIN STREET, SUITE D, VISALIA, CA 93291
(559) 734-2020
(559) 734-5051

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
D1609
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ZZZ74844Z
CA
Enumeration date
05/14/2007
Last updated
07/08/2007
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