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1154423515
WILLIAM RUSSELL JOHNSON
MINNEAPOLIS, MN
NPI
1154423515
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0809X Registered Nurse Psychiatric/Mental Health, Adult
(Licence: MN R0730943)
Enumeration Date
2006-09-05
Last Update Date
2007-07-08
Business Address
MR. WILLIAM RUSSELL JOHNSON CNS
1 VETERANS DR
MINNEAPOLIS, MN 55417-2309
Phone number: 612-467-1771
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Mailing Address
MR. WILLIAM RUSSELL JOHNSON CNS
17335 IDLEWOOD CT
LAKEVILLE, MN 55044-5643
Phone number: 952-898-2219
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