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Individual

JULIE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
28998 366TH ST, LE SUEUR, MN 56058-4225
(612) 308-2625
Mailing address
28998 366TH ST, LE SUEUR, MN 56058-4225

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L 61272-8
MN

Other

Enumeration date
12/22/2011
Last updated
12/22/2011
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