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Individual

ALBERTINE COLLINETTE JOHNNY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1200 KENWOOD AVE, DULUTH, MN 55811-4199
(763) 291-5976
Mailing address
7875 E RIVER RD APT 320, FRIDLEY, MN 55432-2459

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2484324
MN

Other

Enumeration date
02/18/2025
Last updated
02/18/2025
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