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Individual

JOHNNA ANN VANBOXEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
680 STEWART AVE, SAINT PAUL, MN 55102-4117
(651) 292-2405
Mailing address
680 STEWART AVE, ST. PAUL, MN 55102

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R238065-0
MN

Other

Enumeration date
10/20/2016
Last updated
10/20/2016
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