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Individual

JAMES EDWARD JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
101 5TH ST E STE 281, SAINT PAUL, MN 55101-1862
(651) 227-6506
(651) 288-4740
Mailing address
101 5TH ST E STE 281, SAINT PAUL, MN 55101-1862
(651) 227-6506
(651) 288-4740

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary

Other

Enumeration date
02/16/2009
Last updated
02/16/2009
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