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| Name | Johnson Sr Shawn P & Johnson Phyllis A |
| License Number | 1020071 |
| ServiceClass | Child Fstr Care |
| Address | 11411 State Highway 29 South |
| City | Alexandria |
| State | MN |
| Zip | 56308 |
| Phone | 320-762-0433 |
| County | Douglas |
| Capacity | 3 |
| License Holder | Phyllis Annette Johnson |
| Initial Effective Date | 06/28/2002 |
| Current Effective Date | 08/08/2007 |
| Expiration Date | 08/01/2009 |
| License Type | Foster Family |
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