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Individual

MRS. SANDY JO JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BSN

Contact information

Practice address
20132 ULYSSES STREET. NW, ELK RIVER, MN 55330
(763) 753-8658
(763) 753-4314
Mailing address
4701 147TH LANE, ANDOVER, MN 55304
(763) 226-5897

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
R106445-6
MN

Other

Enumeration date
09/27/2010
Last updated
09/27/2010
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