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Individual

ANJALI JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
525 PORTLAND AVE FL 4 MC 964, MINNEAPOLIS, MN 55415-1533
(612) 543-5555
Mailing address
525 PORTLAND AVE FL 4 MC 964, MINNEAPOLIS, MN 55415

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9543
MN

Other

Enumeration date
09/03/2021
Last updated
08/01/2023
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