Randy Lee Johnson

NPI #1497041065 in Sartell, Minnesota

Provider Information

NPI Number
1497041065
Entity Type
Individual
Name
Randy Lee Johnson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Contractor - Home Modifications
Enumeration Date
Jun 22, 2011
Last Updated
Jun 22, 2011

Practice Location

Address
824 9TH ST N
ZIP Code
56377-2248
Phone
(320) 290-9506

Specialties & Taxonomy Codes

Specialty
Contractor - Home ModificationsHome Modifications

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