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1821178799
PAMELA M JOHNSON
GRAND RAPIDS, MN
NPI
1821178799
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: MN LP3611)
Enumeration Date
2006-10-16
Last Update Date
2007-07-08
Business Address
-- PAMELA M JOHNSON MA LP
516 S POKEGAMA AVE SUITE B
GRAND RAPIDS, MN 55744-3800
Phone number: 218-327-9336
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Mailing Address
-- PAMELA M JOHNSON MA LP
21206 BLUEBIRD DR
GRAND RAPIDS, MN 55744-6218
Phone number: 218-327-9336
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