BETHANY LAUREN JOHNSON

MINNEAPOLIS, MN
NPI1093948085
Former NameBETHANY LAUREN FAST
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MN  10647)
Enumeration Date2009-08-25
Last Update Date2018-09-12
Business Address
BETHANY LAUREN JOHNSON PA-C
909 FULTON ST SE
MINNEAPOLIS, MN 55455-4800
Phone number: 612-672-7422
Mailing Address
BETHANY LAUREN JOHNSON PA-C
909 FULTON ST SE
MINNEAPOLIS, MN 55455-4800
Phone number: 612-372-7422
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