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Individual

RACHEL KATHLEEN JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
916 SAINT PETER AVE #120, DELANO, MN 55328
(763) 230-2780
(763) 972-2230
Mailing address
14001 RIDGEDALE DR #100, MINNETONKA, MN 55305
(952) 473-0211
(952) 473-7908

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12703
MN
363A00000X
Physician Assistant

Other

Enumeration date
10/20/2016
Last updated
12/06/2018
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