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1235530890
WADE JOHNSON
MANKATO, MN
NPI
1235530890
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2081S0010X Physical Medicine & Rehabilitation, Sports Medicine
(Licence: MN 63980)
Enumeration Date
2014-09-14
Last Update Date
2020-10-27
Business Address
WADE JOHNSON DO
1025 MARSH ST
MANKATO, MN 56001-4752
Phone number: 507-625-4031
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Mailing Address
WADE JOHNSON DO
200 1ST ST SW
ROCHESTER, MN 55905-0001
Phone number:
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