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1376135129
CARLY KRISTIN MARTHA JOHNSON
EDINA, MN
NPI
1376135129
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MN 14497)
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2021-02-03
Last Update Date
2024-10-09
Business Address
CARLY KRISTIN MARTHA JOHNSON PA-C
7373 FRANCE AVE S STE 208
EDINA, MN 55435-4598
Phone number: 952-835-1311
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Mailing Address
CARLY KRISTIN MARTHA JOHNSON PA-C
5922 SYCAMORE MANOR CV
BARTLETT, TN 38134-0800
Phone number: 612-598-5810
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