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1073161519
KATHLEEN JOHNSON
COTTAGE GROVE, MN
NPI
1073161519
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician Attendant Care Provider
Enumeration Date
2019-08-28
Last Update Date
2019-08-28
Business Address
KATHLEEN JOHNSON
7436 HINTON PARK AVE SOUTH
COTTAGE GROVE, MN 55016
Phone number: 651-492-8156
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Mailing Address
KATHLEEN JOHNSON
7436 HINTON PARK AVE SOUTH
COTTAGE GROVE, MN 55016
Phone number: 651-492-8156
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