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Jerald Johnson
Medical Laboratory Technician in Fargo, North Dakota
NPI 1669856225

Jerald Johnson is a Medical Laboratory Technician based in Fargo, ND and is specialized in Medical Laboratory. Jerald Johnson practices in Fargo, ND. The NPI Number for Jerald Johnson is 1669856225 and holds a License No. 04200308 (North Dakota).

The current practice location address for Jerald Johnson is 1618 E Gateway Cir S, Fargo, ND and can be reached out via phone at 612-384-0964.

Location: 1618 E Gateway Cir S, Fargo, ND, 58103-3657
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669856225
Provider Name
Jerald Johnson
Credential
Provider Entity Type
Individual
Gender
Male
Address
1618 E Gateway Cir S, Fargo, ND, 58103-3657
Phone Number
612-384-0964
Fax Number
Provider Enumeration Date
07/14/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1618 E Gateway Cir S
City
Fargo
State
North Dakota
Zip
58103-3657
Phone Number
612-384-0964
Fax Number
person
Provider Business Mailing Address Details
Address
1618 E Gateway Cir S
City
Fargo
State
North Dakota
Zip
58103-3657
Phone Number
612-384-0964
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Pathology
Speciality
Medical Laboratory
Taxonomy
246RM2200X
License No.
04200308 (Minnesota)
Definition
Definition to come...
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