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1962116988
JUSTIN THOMAS JOHNSEN
WOODBURY, MN
NPI
1962116988
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MN 14327)
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2023-01-13
Last Update Date
2024-09-27
Business Address
JUSTIN THOMAS JOHNSEN PA-C
8675 VALLEY CREEK RD
WOODBURY, MN 55125-2337
Phone number: 651-241-3000
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Mailing Address
JUSTIN THOMAS JOHNSEN PA-C
2925 CHICAGO AVE
MINNEAPOLIS, MN 55407-1321
Phone number: 612-262-9000
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