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1962170076
MICHAEL JOHNSON
GREEN BAY, WI
NPI
1962170076
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-09-02
Last Update Date
2021-09-02
Business Address
MICHAEL JOHNSON
1499 6TH ST
GREEN BAY, WI 54304-2252
Phone number: 920-497-6161
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Mailing Address
MICHAEL JOHNSON
1499 6TH ST
GREEN BAY, WI 54304-2252
Phone number: 920-497-6161
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