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1851383988
LUELLA J JOHNSTON
COON RAPIDS, MN
NPI
1851383988
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MN R 055066-0)
Enumeration Date
2005-08-16
Last Update Date
2007-07-09
Business Address
-- LUELLA J JOHNSTON CRNA
8990 SPRINGBROOK DR NW STE 250
COON RAPIDS, MN 55433-5850
Phone number: 763-398-0099
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Mailing Address
-- LUELLA J JOHNSTON CRNA
18787 JORDAN CIR
LAKEVILLE, MN 55044-4215
Phone number:
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