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Individual

ANGEL LYNN JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10001 SOUTHPOINT PKWY, FREDERICKSBURG, VA 22407-2700
(540) 834-2416
(540) 834-2418
Mailing address
10001 SOUTHPOINT PKWY, FREDERICKSBURG, VA 22407-2700
(540) 834-2416
(540) 834-2418

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1101003749
VA

Other

Enumeration date
05/26/2023
Last updated
05/26/2023
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