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1922697465
SHAWNNA C JOHNSON
BAXTER, MN
NPI
1922697465
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: MN 7908)
Enumeration Date
2021-01-11
Last Update Date
2021-01-11
Business Address
SHAWNNA C JOHNSON APRN,CNP
13060 ISLE DR
BAXTER, MN 56425-8331
Phone number: 218-828-2880
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Mailing Address
SHAWNNA C JOHNSON APRN,CNP
1702 SOUTH UNIVERSITY DRIVE MEDICAL STAFF SERVICES
FARGO, ND 58103-4940
Phone number:
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