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Individual

JOHNNY PHILLIP ROSIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
310 E 38TH ST, SUITE 320, MINNEAPOLIS, MN 55409-1300
(612) 243-1600
Mailing address
310 E 38TH ST, SUITE 320, MINNEAPOLIS, MN 55409-1300

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1076
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
62-56832
UBH PIN NUMBER
MN
Enumeration date
01/11/2007
Last updated
10/24/2007
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