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1508862640
MAT A JOHNSON
LA CROSSE, WI
NPI
1508862640
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: WI 139646)
Enumeration Date
2005-06-23
Last Update Date
2013-04-18
Business Address
-- MAT A JOHNSON CRNA
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300
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Mailing Address
-- MAT A JOHNSON CRNA
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300
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