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1124093265
DEBRA DEANOVIC JOHNSON
MINNEAPOLIS, MN
NPI
1124093265
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: MN 26260)
Enumeration Date
2006-02-22
Last Update Date
2020-02-28
Business Address
DEBRA DEANOVIC JOHNSON MD
2220 RIVERSIDE AVE MAIL STOP 31700A
MINNEAPOLIS, MN 55454-1321
Phone number: 612-371-1600
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Mailing Address
DEBRA DEANOVIC JOHNSON MD
8170 33RD AVE S
BLOOMINGTON, MN 55425-4516
Phone number: 952-967-7676
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