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1538692595
JENNA JOHNSON
SAINT PAUL, MN
NPI
1538692595
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
125J00000X Dental Therapist
(Licence: MN DT80)
Enumeration Date
2017-04-06
Last Update Date
2018-05-30
Business Address
JENNA JOHNSON MDT
1790 7TH ST E
SAINT PAUL, MN 55119
Phone number: 651-735-0521
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Mailing Address
JENNA JOHNSON MDT
8718 QUARRY RIDGE LN UNIT D
WOODBURY, MN 55125-7523
Phone number:
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