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Individual

JEANETTE M. JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
516 COOPER AVE, GRAFTON, ND 58237-1512
(701) 350-5110
(701) 352-5060
Mailing address
516 COOPER AVE, GRAFTON, ND 58237-1512
(701) 350-5110
(701) 352-5060

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
ND

Other

Enumeration date
07/10/2026
Last updated
07/10/2026
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