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1629399746
BONITA RAE JOHNSON
MAPLE GROVE, MN
NPI
1629399746
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: MN 997)
Enumeration Date
2010-06-14
Last Update Date
2010-06-14
Business Address
BONITA RAE JOHNSON L.M.F.T.
7206 FORESTVIEW LN N # 210
MAPLE GROVE, MN 55369-5581
Phone number: 763-201-1029
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Mailing Address
BONITA RAE JOHNSON L.M.F.T.
8817 INVERNESS TER
BROOKLYN PARK, MN 55443-1921
Phone number: 763-424-8866
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