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1992310700
COLTYN TYLER JOHNSON
MINNEAPOLIS, MN
NPI
1992310700
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MN 2430924)
Enumeration Date
2020-09-09
Last Update Date
2020-09-09
Business Address
COLTYN TYLER JOHNSON APRN, CRNA
2525 CHICAGO AVE
MINNEAPOLIS, MN 55404-4518
Phone number: 612-813-6000
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Mailing Address
COLTYN TYLER JOHNSON APRN, CRNA
720 W LAKE ST APT 118
MINNEAPOLIS, MN 55408-2985
Phone number: 701-570-6372
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