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1295014520
KIMBERLY ANN JOHNSON
HERMANTOWN, MN
NPI
1295014520
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Former Name
KIMBERLY BAKKA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: MN 1510)
Enumeration Date
2011-08-04
Last Update Date
2020-03-17
Business Address
KIMBERLY ANN JOHNSON CNP
4899 MILLER TRUNK HWY STE 208
HERMANTOWN, MN 55811-1582
Phone number: 218-727-3888
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Mailing Address
KIMBERLY ANN JOHNSON CNP
4899 MILLER TRUNK HWY STE 208
HERMANTOWN, MN 55811-1582
Phone number: 218-727-3888
Copy
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