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Jerel Johnson, ABOC OPTICIAN

NPI 1750421160 · on the registry since 2007

Practice

Address
23 East Vermilion Ave
Cook, MN 55723
Phone
(218) 666-2879

Registry record

Primary taxonomy
156FX1800X
156FX1800X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota