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Individual

KIMBERLY K JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4950 W 77TH ST, STE 105, EDINA, MN 55435-4805
(952) 983-0417
(952) 842-0402
Mailing address
5000 CHESHIRE PKWY N, PLYMOUTH, MN 55446-4103
(888) 510-0766
(763) 268-4017

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2731
MN

Other

Enumeration date
10/31/2012
Last updated
06/04/2013
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