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Individual

PAMELLA JO JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
204 5TH AVE SE APT 8, APT 8, STANLEY, ND 58784-4050
(701) 641-7471
Mailing address
204 5TH AVE SE APT 8, STANLEY, ND 58784-4050
(701) 641-7471

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
3747P1801X
Personal Care Attendant
Primary
ND
376J00000X
Homemaker

Other

Enumeration date
09/29/2025
Last updated
10/30/2025
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