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1396129383
NICOLE JOHNSON
SAINT PAUL, MN
NPI
1396129383
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: MN 3478)
Enumeration Date
2015-07-20
Last Update Date
2017-01-06
Business Address
-- NICOLE JOHNSON RD, LD
2550 UNIVERSITY AVE W SUITE 216S
SAINT PAUL, MN 55114-1052
Phone number: 952-977-1801
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Mailing Address
-- NICOLE JOHNSON RD, LD
2550 UNIVERSITY AVE W SUITE 216S
SAINT PAUL, MN 55114-1052
Phone number: 952-993-5333
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