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1184205387
JENELLE JOHNSON
COON RAPIDS, MN
NPI
1184205387
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-04-19
Last Update Date
2021-04-19
Business Address
JENELLE JOHNSON M.S.
9120 SPRINGBROOK DR NW
COON RAPIDS, MN 55433-5845
Phone number: 612-767-7222
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Mailing Address
JENELLE JOHNSON M.S.
9120 SPRINGBROOK DR NW
COON RAPIDS, MN 55433-5845
Phone number: 612-767-7222
Copy
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