JERALD JOHNSON

FARGO, ND
NPI1669856225
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy246RM2200X Technician, Pathology, Medical Laboratory
(Licence: MN  04200308)
Enumeration Date2015-07-14
Last Update Date2015-07-14
Business Address
-- JERALD JOHNSON
1618 E GATEWAY CIR S APT 301
FARGO, ND 58103-3657
Phone number: 612-384-0964
Mailing Address
-- JERALD JOHNSON
1618 E GATEWAY CIR S APT 301
FARGO, ND 58103-3657
Phone number: 612-384-0964
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