GORDON DEAN JOHNSON

CROOKSTON, MN
NPI1053588004
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2008-05-09
Last Update Date2008-05-09
Business Address
-- GORDON DEAN JOHNSON
27885 170TH AVE SW
CROOKSTON, MN 56716-9444
Phone number: 218-281-3506
Mailing Address
-- GORDON DEAN JOHNSON
27885 170TH AVE SW
CROOKSTON, MN 56716-9444
Phone number: 218-281-3506
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