BLAKE EDWARD JOHNSON

GRAND FORKS, ND
NPI1326628272
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2021-04-13
Last Update Date2021-04-13
Business Address
Mr. BLAKE EDWARD JOHNSON
1017 SELKIRK CIR
GRAND FORKS, ND 58203-4000
Phone number: 701-795-9143
Mailing Address
Mr. BLAKE EDWARD JOHNSON
930 N 3RD ST
GRAND FORKS, ND 58203-2408
Phone number:
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