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1205971611
MATTHEW JOHN JOHNSON
SAINT PAUL, MN
NPI
1205971611
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2007-02-21
Last Update Date
2007-07-08
Business Address
-- MATTHEW JOHN JOHNSON
2200 UNIVERSITY AVE W STE 160
SAINT PAUL, MN 55114-1841
Phone number: 651-917-3634
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Mailing Address
-- MATTHEW JOHN JOHNSON
20599 HAMPSHIRE WAY
LAKEVILLE, MN 55044-4671
Phone number:
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