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Individual

KRISTINE ANN JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2601 CENTENNIAL DR STE 100, NORTH ST PAUL, MN 55109-3087
(651) 777-7414
(651) 748-5839
Mailing address
2025 SLOAN PL STE 35, SAINT PAUL, MN 55117-2092
(651) 772-1572
(651) 772-1889

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10583
MN

Other

Enumeration date
07/02/2009
Last updated
04/23/2019
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