BRYAN DOUGLAS JOHNSON

DULUTH, MN
NPI1174148308
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MN  11824)
Enumeration Date2020-06-12
Last Update Date2020-06-12
Business Address
BRYAN DOUGLAS JOHNSON
2501 RICE LAKE RD
DULUTH, MN 55811-4819
Phone number: 864-513-6864
Mailing Address
BRYAN DOUGLAS JOHNSON
PO BOX 4
ESKO, MN 55733-0004
Phone number:
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