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1225735723
MELANIE ROSE JOHNSON
SHAKOPEE, MN
NPI
1225735723
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-02-14
Last Update Date
2023-02-14
Business Address
MELANIE ROSE JOHNSON
1077 TYLER ST S
SHAKOPEE, MN 55379-2068
Phone number: 952-452-4298
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Mailing Address
MELANIE ROSE JOHNSON
1077 TYLER ST S
SHAKOPEE, MN 55379-2068
Phone number: 952-452-4298
Copy
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