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1063419471
MARY BETH JOHNSON
SIOUX FALLS, SD
NPI
1063419471
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: SD CNP0203)
Enumeration Date
2005-06-30
Last Update Date
2009-05-27
Business Address
-- MARY BETH JOHNSON CNP
401 E 8TH ST STE 230
SIOUX FALLS, SD 57103-7011
Phone number: 605-334-5099
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Mailing Address
-- MARY BETH JOHNSON CNP
PO BOX 5074
SIOUX FALLS, SD 57117-5074
Phone number: 605-328-9556
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