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Organization

MAUREEN K JOHNSON, REGISTERED DIETITIAN, INC.

Active
Other names
MKJRD, Inc
Organization subpart
No

Provider details

NPI number
Authorized official
MAUREEN K JOHNSON M.S., R. D. (PRESIDENT CONSULTANT)
(307) 745-4026
Entity
Organization

Contact information

Practice address
2010 REYNOLDS ST, #H280, LARAMIE, WY 82072-2481
(307) 745-4026
(307) 745-4026
Mailing address
PO BOX 1800, LARAMIE, WY 82073-1800
(307) 745-4026
(307) 745-4026

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
171M00000X
Case Manager/Care Coordinator
Primary
251C00000X
Developmentally Disabled Services Day Training Agency
WY

Other

Enumeration date
01/30/2007
Last updated
09/11/2025
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