Jerel Dean Johnson, ABOC OPTICIAN
NPI #1750421160 in Cook, Minnesota
Provider Information
- NPI Number
- 1750421160
- Entity Type
- Individual
- Name
- Jerel Dean Johnson, ABOC OPTICIAN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician/Technologist - Optician
- Credential
- ABOC OPTICIAN
- Enumeration Date
- Feb 7, 2007
- Last Updated
- Jul 8, 2007
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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