Individual
MRS. DEBRA MARLENE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
106 4TH AVENUE NORTH, FERGUS FALLS, MN 56537-1034
(218) 998-3778
(218) 998-3187
Mailing address
PO BOX 65, AUDUBON, MN 56511
(218) 439-6364
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R132125-4
MN
Other
Enumeration date
06/19/2009
Last updated
06/19/2009
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