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1417495912
MATTHEW JOHNSON
DETROIT LAKES, MN
NPI
1417495912
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MN 6225)
Enumeration Date
2017-02-03
Last Update Date
2017-02-03
Business Address
-- MATTHEW JOHNSON PT
1027 WASHINGTON AVE
DETROIT LAKES, MN 56501-3409
Phone number: 218-847-5611
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Mailing Address
-- MATTHEW JOHNSON PT
PO BOX 6001
FARGO, ND 58108-6001
Phone number:
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