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Individual

MISS CINDY LOU JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2123 ST HWY 87NW, SCENIC FOSTER CARE, BACKUS, MN 56435
(218) 947-3989
(218) 947-3279
Mailing address
2123 ST HYW 87 NW, SCENIC FOSTER CARE, BACKUS, MN 56435
(218) 947-3989
(218) 947-3279

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
1061747-1-AFC
MN

Other

Enumeration date
12/15/2011
Last updated
12/15/2011
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