Individual
MRS. MARY AGNES JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
705 KNUTI DR, AURORA, MN 55705
(218) 229-8936
(218) 229-2666
Mailing address
705 KNUTI DR, AURORA, MN 55705
(218) 229-8936
(218) 229-2666
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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