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1366137820
KELSI NICOLE JOHNSON
PLYMOUTH, MN
NPI
1366137820
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MN 107098)
Enumeration Date
2023-04-10
Last Update Date
2023-04-10
Business Address
KELSI NICOLE JOHNSON OTR/L
3401 E MEDICINE LAKE BLVD
PLYMOUTH, MN 55441-2307
Phone number: 612-408-7918
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Mailing Address
KELSI NICOLE JOHNSON OTR/L
1537 HOLLYBROOK RD
WAYZATA, MN 55391-1340
Phone number: 612-408-7918
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