GARY E. JOHNSON, O.D., P.C.
Managed Care Organizations at 55 Ave, Fargo, ND

License number
North Dakota 607
Category
Managed Care Organizations
Type
Exclusive Provider Organization
Owner
Name: MR. GARY ELIJAH JOHNSON O.D.
Title: PRESIDENT
Phone: (701) 640-8773
Address
Address
3757 55Th Ave S, Fargo, ND 58104
National Provider ID: 1235430216
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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