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1871925479
CARLA RAE JOHNSON
MINNEAPOLIS, MN
NPI
1871925479
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: MN AG0713025)
Enumeration Date
2013-08-06
Last Update Date
2013-08-06
Business Address
-- CARLA RAE JOHNSON CNP
3366 OAKDALE AVE N SUITE 551
MINNEAPOLIS, MN 55422-2948
Phone number: 763-587-7737
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Mailing Address
-- CARLA RAE JOHNSON CNP
9201 W BROADWAY AVE SUITE 601
BROOKLYN PARK, MN 55445-1923
Phone number: 763-587-7974
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